Ashley Shamblin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rogue River, Oregon. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mental Health Specialty Group Pa and her current practice location is
13797 E Evans Creek Rd, Rogue River, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 973-1361.
Ashley Shamblin is licensed to practice in Oregon (license number L11602) 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 1023457504.
Healthcare Provider's Profile
| Full Name | Ashley Shamblin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 13797 E Evans Creek Rd, Rogue River, Oregon |
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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. |
Medical Education and Training:
- Ashley Shamblin graduated from medical school in 2020
NPI Data:
- NPI Number: 1023457504
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648611921
- Enrollment ID: I20240517001041
Medical Identifiers
Medical identifiers for Ashley Shamblin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023457504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | L11602 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mental Health Specialty Group Pa | 8921466228 | 618 |
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. Ashley Shamblin allows following entities to bill medicare on her behalf.
| Entity Name | Mindful Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356108286 PECOS PAC ID: 9739520016 Enrollment ID: O20240517000968 |
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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. Ashley Shamblin 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 |
Ashley Shamblin, LCSW Po Box 1504, Rogue River, OR 97537-1504 Ph: (541) 973-1361 | Ashley Shamblin, LCSW 13797 E Evans Creek Rd, Rogue River, OR 97537-9778 Ph: (541) 973-1361 |
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