Shane Thomas Whalen, LCSW - Medicare Clinical Social Worker in Schenectady, NY

Shane Thomas Whalen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Schenectady, New York. His current practice location is 1044 State St, Schenectady, New York. You can reach out to his office (for appointments etc.) via phone at (518) 370-1441.

Shane Thomas Whalen is licensed to practice in New York (license number 089173) 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 1457715310.

Contact Information

Shane Thomas Whalen, LCSW
1044 State St,
Schenectady, NY 12307-1508
(518) 370-1441
(518) 395-9431

Map and Direction




Healthcare Provider's Profile

Full NameShane Thomas Whalen
GenderMale
SpecialitySocial Worker - Clinical
Location1044 State St, Schenectady, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457715310
  • Provider Enumeration Date: 04/07/2016
  • Last Update Date: 09/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729407838
  • Enrollment ID: I20200923000579

Medical Identifiers

Medical identifiers for Shane Thomas Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457715310NPI-NPPES
02995513MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089173 (New York)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. Shane Thomas Whalen allows following entities to bill medicare on his behalf.
Entity NamePsychological Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922109578
PECOS PAC ID: 7416860572
Enrollment ID: O20040317000828
Entity NameSchenectady Family Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396711982
PECOS PAC ID: 1850280827
Enrollment ID: O20040325000143

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. Shane Thomas Whalen 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 AddressPractice Location Address
Shane Thomas Whalen, LCSW
1044 State St,
Schenectady, NY 12307-1508

Ph: (518) 370-1441
Shane Thomas Whalen, LCSW
1044 State St,
Schenectady, NY 12307-1508

Ph: (518) 370-1441

Reviews and Comments


Social Worker in Schenectady, NY

Ms. Jennifer Lynn Cole, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 201 Duane Ave, Schenectady, NY 12307
Phone: 518-374-9371    Fax: 518-346-6341
Karyn W Watson,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 216 Lafayette St, Schenectady, Schenectady, NY 12305
Phone: 518-243-3300    Fax: 518-377-9151
Mr. Anthony G. Cortese, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1362 Union Street, Schenectady, NY 12308
Phone: 518-374-0295    Fax: 518-377-3729
Kimberly Elliott, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1213 Vinewood Ave, Schenectady, NY 12306
Phone: 518-355-3810    
Thomas Edward Hulihan, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 530 Franklin St, Schenectady, NY 12305
Phone: 518-381-8911    Fax: 518-377-4292
Alexandria T Lupo, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2719 Hamburg St, Schenectady, NY 12303
Phone: 845-820-1830    
Mr. Ron S Levine, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 246 Union St, Schenectady, NY 12305
Phone: 518-393-1369    Fax: 518-393-3601

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.