Roshunna Shante Lea, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Temple, Texas. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Scott And White Clinic and her current practice location is
2401 S 31st St, Temple, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 724-2111.
Roshunna Shante Lea is licensed to practice in Texas (license number 38943) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972175768.
Healthcare Provider's Profile
| Full Name | Roshunna Shante Lea |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 2401 S 31st St, Temple, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Roshunna Shante Lea graduated from medical school in 2019
NPI Data:
- NPI Number: 1972175768
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294138368
- Enrollment ID: I20210727002059
Medical Identifiers
Medical identifiers for Roshunna Shante Lea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972175768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 38943 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 38943 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Scott And White Clinic | 8123923604 | 2276 |
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. Roshunna Shante Lea allows following entities to bill medicare on her behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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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. Roshunna Shante Lea 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 |
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Roshunna Shante Lea, PSYD
Po Box 844658,
Dallas, TX 75284-4658
Ph: (254) 724-2111 | Roshunna Shante Lea, PSYD
2401 S 31st St,
Temple, TX 76508-0001
Ph: (254) 724-2111 |
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