Ms Alexa Lynn Yetta Shoultes, LCSW-C in Berlin, MD - Medicare Social Worker Provider

Ms Alexa Lynn Yetta Shoultes, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Berlin, Maryland. Her current practice location is 9958 N Main St, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 973-2820.

Ms Alexa Lynn Yetta Shoultes is licensed to practice in Maryland (license number 28175) 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 1790439446.

Contact Information

	Ms Alexa Lynn Yetta Shoultes, LCSW-C
	9958 N Main St, Berlin, MD 21811-1076
	(410) 973-2820
	(410) 973-2843

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Alexa Lynn Yetta Shoultes
Gender	Female
Speciality	Social Worker - Clinical
Location	9958 N Main St, Berlin, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790439446
Provider Enumeration Date: 02/10/2022
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8729529383
Enrollment ID: I20240923002198

Medical Identifiers

Medical identifiers for Ms Alexa Lynn Yetta Shoultes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790439446	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28175 (Maryland)	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. Ms Alexa Lynn Yetta Shoultes allows following entities to bill medicare on her behalf.

Entity Name	Three Lower Counties Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093

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. Ms Alexa Lynn Yetta Shoultes 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
Ms Alexa Lynn Yetta Shoultes, LCSW-C Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Ms Alexa Lynn Yetta Shoultes, LCSW-C 9958 N Main St, Berlin, MD 21811-1076 Ph: (410) 973-2820

Reviews and Comments

Social Worker in Berlin, MD

Mrs. Chelsea Nicole Corbett, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9958 N. Main Street, Berlin, MD 21811 Phone: 410-973-2820 Fax: 410-973-2843
Mrs. Christina Maria Batze, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185
Mrs. Jacquelyn Nicole Hirsch, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-219-5483 Fax: 410-219-5486
Tyler Betz, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Grace St, Berlin, MD 21811 Phone: 410-713-1723
Emily Goodchild, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9714 Healthway Dr, Berlin, MD 21811 Phone: 410-641-3340
Julie Kelley Rayne, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164
Mrs. Mary E Kaul-black, LCSW C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave, Suite 306, Berlin, MD 21811 Phone: 410-973-2525 Fax: 410-973-2527

Ms Alexa Lynn Yetta Shoultes, LCSW-C - Medicare Clinical Social Worker in Berlin, MD