Shentelle Marie Livan, LPA in Wake Forest, NC - Medicare Psychologist Provider

Shentelle Marie Livan, LPA is a medicare enrolled "Psychologist" provider in Wake Forest, North Carolina. Her current practice location is 1964 S Main St, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 554-0177.

Shentelle Marie Livan is licensed to practice in North Carolina (license number 6658) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235958836.

Contact Information

	Shentelle Marie Livan, LPA
	1964 S Main St, Wake Forest, NC 27587-9336
	(919) 554-0177
	(919) 554-0177

Map and Direction

Healthcare Provider's Profile

Full Name	Shentelle Marie Livan
Gender	Female
Speciality	Psychologist
Location	1964 S Main St, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235958836
Provider Enumeration Date: 10/09/2024
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 4385160969
Enrollment ID: I20250428000637

Medical Identifiers

Medical identifiers for Shentelle Marie Livan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235958836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6658 (North Carolina)	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. Shentelle Marie Livan allows following entities to bill medicare on her behalf.

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

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. Shentelle Marie Livan 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
Shentelle Marie Livan, LPA 4705 University Dr Bldg 700, Durham, NC 27707-3489 Ph: (919) 237-1337	Shentelle Marie Livan, LPA 1964 S Main St, Wake Forest, NC 27587-9336 Ph: (919) 554-0177

Reviews and Comments

Psychologist in Wake Forest, NC

Dr. Lindsay Ann Fought, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1936 Heritage Branch Rd, Wake Forest, NC 27587 Phone: 984-326-7227
Dr. Camela Sherrill Barker, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd Ste 210, Wake Forest, NC 27587 Phone: 919-263-9592
Mr. Matthew William Mcnally, M.A., LPA, CHSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2320 Avinshire Pl, Wake Forest, NC 27587 Phone: 919-556-7219
Dr. Ambreen Joy Sheikh, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1906 S Main St, Suite 120, Wake Forest, NC 27587 Phone: 919-562-1080 Fax: 919-570-3243
Melissa Ann Jackson-westbrook, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd Ste 210, Wake Forest, NC 27587 Phone: 919-263-9592
Dr. Cristina Ramos Dastgiri, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12335 Wake Union Church Rd, Suite 206, Wake Forest, NC 27587 Phone: 919-562-1080

Shentelle Marie Livan, LPA - Medicare Psychologist in Wake Forest, NC