Ebony Leree Shorts, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Enterprise, Oregon. Her current practice location is
606 Medical Pkwy, Enterprise, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 426-4524.
Ebony Leree Shorts is licensed to practice in Indiana (license number 34010647A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861274540.
Healthcare Provider's Profile
| Full Name | Ebony Leree Shorts |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 606 Medical Pkwy, Enterprise, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861274540
- Provider Enumeration Date: 10/18/2023
- Last Update Date: 09/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991154429
- Enrollment ID: I20231209000762
Medical Identifiers
Medical identifiers for Ebony Leree Shorts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861274540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 34010647A (Indiana) | Primary |
| 101Y00000X | Counselor | L15279 (Oregon) | Secondary |
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. Ebony Leree Shorts allows following entities to bill medicare on her behalf.
| Entity Name | Lifespring Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851489942
PECOS PAC ID: 5294624508
Enrollment ID: O20040805000332 |
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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. Ebony Leree Shorts 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 |
|---|
Ebony Leree Shorts, LCSW
606 Medical Pkwy,
Enterprise, OR 97828-5140
Ph: (541) 426-4524 | Ebony Leree Shorts, LCSW
606 Medical Pkwy,
Enterprise, OR 97828-5140
Ph: (541) 426-4524 |
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