Mia Shepherd, in Roseville, CA - Medicare Social Worker Provider

Mia Shepherd, is a medicare enrolled "Social Worker - Clinical" provider in Roseville, California. Her current practice location is 1660 E Roseville Pkwy, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 878-4066.

Mia Shepherd is licensed to practice in California (license number 61785) 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 1053709188.

Contact Information

	Mia Shepherd,
	1660 E Roseville Pkwy, Roseville, CA 95661-3988
	(916) 878-4066
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mia Shepherd
Gender	Female
Speciality	Social Worker - Clinical
Location	1660 E Roseville Pkwy, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053709188
Provider Enumeration Date: 12/23/2014
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2961728787
Enrollment ID: I20150312002756

Medical Identifiers

Medical identifiers for Mia Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053709188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61785 (California)	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. Mia Shepherd allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mia Shepherd 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
Mia Shepherd, 1660 E Roseville Pkwy, Roseville, CA 95661-3988 Ph: () -	Mia Shepherd, 1660 E Roseville Pkwy, Roseville, CA 95661-3988 Ph: (916) 878-4066

Reviews and Comments

Social Worker in Roseville, CA

Mrs. Kaitlyn W Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 Blue Oaks Blvd Ste 120, Roseville, CA 95747 Phone: 916-822-9892
Ms. Patience Tsuruko Taba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 Sunrise Ave Ste 120, Roseville, CA 95661 Phone: 916-600-2838 Fax: 916-773-0965
Ethan Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Harding Blvd Ste 108, Roseville, CA 95678 Phone: 916-741-0884
Suzanne Garafolo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Sunrise Ave Ste 701, Roseville, CA 95661 Phone: 916-783-5207
Catherine Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1780 Vernon St Ste 1, Roseville, CA 95678 Phone: 916-782-1111 Fax: 916-782-4544
Ms. Linda Lorraine Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Plaza Dr, Suite 200, Roseville, CA 95661 Phone: 530-478-1273
Mrs. Camille Lynne Danos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 E Roseville Parkway, Roseville, CA 95661 Phone: 916-973-5300

Mia Shepherd, - Medicare Clinical Social Worker in Roseville, CA