Ms La'draya Shamicka Macon, LCSW, CASAC in Roosevelt, NY

Ms La'draya Shamicka Macon, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Roosevelt, New York. Her current practice location is 27a Washington Pl, Roosevelt, New York. You can reach out to her office (for appointments etc.) via phone at (516) 623-7741.

Ms La'draya Shamicka Macon is licensed to practice in New York (license number 083947) 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 1497020440.

Contact Information

	Ms La'draya Shamicka Macon, LCSW, CASAC
	27a Washington Pl, Roosevelt, NY 11575-1454
	(516) 623-7741
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms La'draya Shamicka Macon
Gender	Female
Speciality	Social Worker - Clinical
Location	27a Washington Pl, Roosevelt, 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: 1497020440
Provider Enumeration Date: 03/08/2012
Last Update Date: 05/04/2016

Medicare PECOS Information:

PECOS PAC ID: 8820384365
Enrollment ID: I20160908001993

Medical Identifiers

Medical identifiers for Ms La'draya Shamicka Macon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497020440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	083947 (New York)	Primary
104100000X	Social Worker	086013 (New York)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	31869 (New York)	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. Ms La'draya Shamicka Macon allows following entities to bill medicare on her behalf.

Entity Name	New Horizon Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366430563 PECOS PAC ID: 4880681295 Enrollment ID: O20040428000452

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 La'draya Shamicka Macon 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 La'draya Shamicka Macon, LCSW, CASAC 27a Washington Pl, Roosevelt, NY 11575-1454 Ph: () -	Ms La'draya Shamicka Macon, LCSW, CASAC 27a Washington Pl, Roosevelt, NY 11575-1454 Ph: (516) 623-7741

Reviews and Comments

Social Worker in Roosevelt, NY

Ms. Carol Jobson, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 Nassau Rd, Ll, Roosevelt, NY 11575 Phone: 516-623-7741 Fax: 516-623-7775
Sherry Bomze, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000
Vivien Mott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Wagner Ave, Roosevelt, NY 11575 Phone: 516-345-7228
Lisa Marie Christie-wild, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Nassau Rd, Roosevelt, NY 11575 Phone: 516-623-1644 Fax: 516-623-3125
Meredith Dooley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000
Ms. Fani Gellman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Nassau Rd, Roosevelt, NY 11575 Phone: 516-623-1644 Fax: 516-623-3125

Ms La'draya Shamicka Macon, LCSW, CASAC - Medicare Clinical Social Worker in Roosevelt, NY