Micheal Shields, PHD in Texarkana, TX - Medicare Psychologist Provider

Micheal Shields, PHD is a medicare enrolled "Psychologist - Counseling" provider in Texarkana, Texas. His current practice location is 29 Heatherwood Dr, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (620) 617-2692.

Micheal Shields is licensed to practice in Kansas (license number 2098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417544875.

Contact Information

	Micheal Shields, PHD
	29 Heatherwood Dr, Texarkana, TX 75503-1657
	(620) 617-2692
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Micheal Shields
Gender	Male
Speciality	Psychologist - Counseling
Location	29 Heatherwood Dr, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417544875
Provider Enumeration Date: 12/30/2020
Last Update Date: 12/30/2020

Medicare PECOS Information:

PECOS PAC ID: 8628485380
Enrollment ID: I20210324001243

Medical Identifiers

Medical identifiers for Micheal Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417544875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	2098 (Kansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Micheal Shields allows following entities to bill medicare on his behalf.

Entity Name	Watonga Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558458794 PECOS PAC ID: 9032010111 Enrollment ID: O20040120001001

Entity Name	El Reno Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386725604 PECOS PAC ID: 5193627263 Enrollment ID: O20040121000487

Entity Name	Clinton Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205923448 PECOS PAC ID: 2163324237 Enrollment ID: O20040121000506

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. Micheal Shields is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Micheal Shields, PHD 29 Heatherwood Dr, Texarkana, TX 75503-1657 Ph: (620) 617-3620	Micheal Shields, PHD 29 Heatherwood Dr, Texarkana, TX 75503-1657 Ph: (620) 617-2692

Reviews and Comments

Psychologist in Texarkana, TX

Dr. James Lee Hoover, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6301 Pecan Cv, Texarkana, TX 75503 Phone: 903-556-1117
Dr. Chad Yates Morgan Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1905 Mall Dr, Texarkana, TX 75503 Phone: 903-792-8397 Fax: 903-791-1925
Barry W Bullard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1902 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-614-3800 Fax: 903-792-1504
Mr. Jules Cary Weiss, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd, Suite 201, Texarkana, TX 75501 Phone: 903-838-3322 Fax: 903-838-9034
Kaleigh Dodson, M.ED, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1317 Rio Grande Ave, Texarkana, TX 75503 Phone: 903-277-0282
Dr. Rafael F Otero, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5425 Plaza Dr, Texarkana, TX 75503 Phone: 903-838-3711 Fax: 903-838-8879

Micheal Shields, PHD - Medicare Psychologist in Texarkana, TX