Jacquline Marie Shannon, LCSW in West Islip, NY - Medicare Social Worker Provider

Jacquline Marie Shannon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Islip, New York. Her current practice location is 23 Secatogue Ln E, West Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 901-3367.

Jacquline Marie Shannon is licensed to practice in New York (license number 107578) 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 1548894199.

Contact Information

	Jacquline Marie Shannon, LCSW
	23 Secatogue Ln E, West Islip, NY 11795-4719
	(631) 901-3367
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquline Marie Shannon
Gender	Female
Speciality	Social Worker - Clinical
Location	23 Secatogue Ln E, West Islip, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548894199
Provider Enumeration Date: 02/22/2020
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4385082031
Enrollment ID: I20240401002690

Medical Identifiers

Medical identifiers for Jacquline Marie Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548894199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107578 (New York)	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. Jacquline Marie Shannon allows following entities to bill medicare on her behalf.

Entity Name	Talkspace Medical Services Ny Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790475556 PECOS PAC ID: 0143671966 Enrollment ID: O20240105002538

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. Jacquline Marie Shannon 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
Jacquline Marie Shannon, LCSW 23 Secatogue Ln E, West Islip, NY 11795-4719 Ph: (631) 901-3367	Jacquline Marie Shannon, LCSW 23 Secatogue Ln E, West Islip, NY 11795-4719 Ph: (631) 901-3367

Reviews and Comments

Social Worker in West Islip, NY

Justine Zerbo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Hamilton Pl, West Islip, NY 11795 Phone: 631-678-3475
Alison Jane Fortune, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Trues Dr, West Islip, NY 11795 Phone: 917-299-1112
Kerry Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 631 Montauk Hwy Ste 9, West Islip, NY 11795 Phone: 631-319-9512
Dorine D'angelo, PSYCHOTHERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 631 Montauk Hwy Ste 6, West Islip, NY 11795 Phone: 631-974-0858
Ms. Carrie Ann Gardino, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Sunrise Hwy, West Islip, NY 11795 Phone: 516-531-7190
Samantha A Fantauzzi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 Southside Ave, West Islip, NY 11795 Phone: 516-592-1971
Meghan Porr, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Sunrise Hwy, West Islip, NY 11795 Phone: 631-594-9390

Jacquline Marie Shannon, LCSW - Medicare Clinical Social Worker in West Islip, NY