Angela Short, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayette, Mississippi. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Uppal Medical Center Llc, Mdb Behavioral Health Services Llc and her current practice location is
240 Mcnair Rd, Fayette, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 786-7744.
Angela Short is licensed to practice in Mississippi (license number C7411) 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 1063047496.
Healthcare Provider's Profile
| Full Name | Angela Short |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 10 Years |
|---|
| Location | 240 Mcnair Rd, Fayette, Mississippi |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela Short graduated from medical school in 2016
NPI Data:
- NPI Number: 1063047496
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 03/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537643697
- Enrollment ID: I20260317004748
Medical Identifiers
Medical identifiers for Angela Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063047496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C7411 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Uppal Medical Center Llc | 4587998547 | 125 |
| Mdb Behavioral Health Services Llc | 0749572915 | 192 |
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. Angela Short 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 |
Angela Short, LCSW 240 Mcnair Rd, Fayette, MS 39069-5540 Ph: (601) 786-7744 | Angela Short, LCSW 240 Mcnair Rd, Fayette, MS 39069-5540 Ph: (601) 786-7744 |
Reviews and Comments