Andrea Shaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Troy, Illinois. Her current practice location is
552 Edwardsville Rd, Troy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 520-6963.
Andrea Shaw is licensed to practice in Illinois (license number 149011548) 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 1851463004.
Healthcare Provider's Profile
Full Name | Andrea Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 552 Edwardsville Rd, Troy, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851463004
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 04/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880796663
- Enrollment ID: I20070226000225
Medical Identifiers
Medical identifiers for Andrea Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851463004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149011548 (Illinois) | 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. Andrea Shaw allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
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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. Andrea Shaw 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 |
Andrea Shaw, LCSW 552 Edwardsville Rd, Troy, IL 62294-1338 Ph: (618) 520-6963 | Andrea Shaw, LCSW 552 Edwardsville Rd, Troy, IL 62294-1338 Ph: (618) 520-6963 |
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