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

Charles L Shivley, is a medicare enrolled "Social Worker - Clinical" provider in Oak Ridge, Tennessee. 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 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 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	Social Worker - Clinical
Location	240 W Tyrone Rd, Oak Ridge, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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: I20181031003262

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

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	Ridgeview Psychiatric Hospital & Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184659229 PECOS PAC ID: 4981691490 Enrollment ID: O20040611001335

Entity Name	Alliance Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295898393 PECOS PAC ID: 4082766621 Enrollment ID: O20090713000696

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
Claudia E Eastland, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 723 Emory Valley Rd, Oak Ridge, TN 37830 Phone: 865-483-4385
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
Silvina Duchini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 W Tyrone Rd, Oak Ridge, TN 37830 Phone: 865-482-1076 Fax: 865-491-6179
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

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