Dr Shauna M Ezell, PHD, LCSW - Psychologist in Tyndall Afb, FL

Dr Shauna M Ezell, PHD, LCSW is a Psychologist - Clinical based in Tyndall Afb, Florida. Dr Shauna M Ezell is licensed to practice in Wisconsin (license number 3097-57) and her current practice location is 325th Medical Group, 340 Magnolia Circle, Bldg. 1465, Tyndall Afb, Florida. She can be reached at her office (for appointments etc.) via phone at (850) 283-7511.

NPI number for Dr Shauna M Ezell is 1780600858 and her current mailing address is 325 Medical Group, 340 Magnolia Circle, Bldg 1465, Tyndall Afb, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780600858.

Contact Information

Dr Shauna M Ezell, PHD, LCSW
325th Medical Group, 340 Magnolia Circle, Bldg. 1465,
Tyndall Afb, FL 32403-5604
(850) 283-7511
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Shauna M Ezell
GenderFemale
SpecialityPsychologist - Clinical
Location325th Medical Group, Tyndall Afb, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780600858
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 04/21/2022

Medical Identifiers

Medical identifiers for Dr Shauna M Ezell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780600858NPI-NPPES
524139100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7400-123 (Wisconsin)Secondary
103TC0700XPsychologist - Clinical 3097-57 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shauna M Ezell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shauna M Ezell, PHD, LCSW
325 Medical Group, 340 Magnolia Circle, Bldg 1465,
Tyndall Afb, FL 32403-5604

Ph: (850) 283-7370
Dr Shauna M Ezell, PHD, LCSW
325th Medical Group, 340 Magnolia Circle, Bldg. 1465,
Tyndall Afb, FL 32403-5604

Ph: (850) 283-7511

Reviews and Comments


Psychologist in Tyndall Afb, FL

Dr. David Anthony Soper, PH.D., HSPP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403
Phone: 850-283-7511    
Janet Mcewan, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403
Phone: 850-283-7511    
Dr. Mara Sturk, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403
Phone: 850-283-7511    
Dr. Rebecca Morris-davis,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 340 Magnolia Cir Bldg 1404, Tyndall Afb, FL 32403
Phone: 850-283-7198    
Dr. Stephanie Salyn Dutton, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403
Phone: 850-283-7511    
Dominique D. Gougis, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403
Phone: 850-283-7511    
Bethany Young,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403
Phone: 850-283-7511    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.