Miss Angie M Shahmoradi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfield, Maine. She graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
Po Box 358, Fairfield, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 453-4708.
Miss Angie M Shahmoradi is licensed to practice in Maine (license number LC17434) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1164567905.
Healthcare Provider's Profile
| Full Name | Miss Angie M Shahmoradi |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | Po Box 358, Fairfield, Maine |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Angie M Shahmoradi graduated from medical school in 2000
NPI Data:
- NPI Number: 1164567905
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 03/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648411371
- Enrollment ID: I20181030001378
Medical Identifiers
Medical identifiers for Miss Angie M Shahmoradi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164567905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | LC17434 (Maine) | 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. Miss Angie M Shahmoradi allows following entities to bill medicare on her behalf.
| Entity Name | Jmpb Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720214950 PECOS PAC ID: 2062543861 Enrollment ID: O20100623000020 |
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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. Miss Angie M Shahmoradi 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 |
Miss Angie M Shahmoradi, LCSW Po Box 358, Fairfield, ME 04937-0358 Ph: (207) 453-4708 | Miss Angie M Shahmoradi, LCSW Po Box 358, Fairfield, ME 04937-0358 Ph: (207) 453-4708 |
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