Charles L Shivley, in Oak Ridge, TN - Medicare Clinical Social Worker Provider

Charles L Shivley, is a medicare enrolled "Social Worker - Clinical" provider in Oak Ridge, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Psychological And Behavioral Consultants Llc and his current practice location is 240 W Tyrone Rd, Oak Ridge, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 482-1076.

Charles L Shivley is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407330244.

Contact Information

	Charles L Shivley,
	240 W Tyrone Rd, Oak Ridge, TN 37830-6517
	(865) 482-1076
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles L Shivley
Gender	Male
Speciality	Clinical Social Worker
Experience	12 Years
Location	240 W Tyrone Rd, Oak Ridge, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles L Shivley attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014

NPI Data:

NPI Number: 1407330244
Provider Enumeration Date: 09/18/2018
Last Update Date: 09/18/2018

Medicare PECOS Information:

PECOS PAC ID: 5294088647
Enrollment ID: I20221027002393

Medical Identifiers

Medical identifiers for Charles L Shivley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407330244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological And Behavioral Consultants Llc	0446243760	459

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. Charles L Shivley allows following entities to bill medicare on his behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081

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. Charles L Shivley 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
Charles L Shivley, 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 Ph: () -	Charles L Shivley, 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 Ph: (865) 482-1076

Reviews and Comments

Social Worker in Oak Ridge, TN

Mrs. Crystal Brock Mullins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: The Sanctuary, 300 Tyler Road, Suite 203, Oak Ridge, TN 37830 Phone: 865-245-2333
Sharon B. Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 Fax: 865-481-6179
Joseph Ashley Peery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 Fax: 865-481-6179
Katy Hummel, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076
Shannon O'donnell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Olmstead Ln, Oak Ridge, TN 37830 Phone: 502-836-5083
Mrs. Amy Auten Olson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-481-6170 Fax: 865-483-6697
Megan Hemmann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076

Charles L Shivley, - Medicare Clinical Social Worker in Oak Ridge, TN