Ms Shakti Sutriasa, MSW in Vero Beach, FL - Medicare Social Worker Provider

Ms Shakti Sutriasa, MSW is a medicare enrolled "Social Worker - Clinical" provider in Vero Beach, Florida. Her current practice location is 1850 43rd Ave, C-11, Vero Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 321-2291.

Ms Shakti Sutriasa is licensed to practice in Florida (license number SW 11579) 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 1750660841.

Contact Information

	Ms Shakti Sutriasa, MSW
	1850 43rd Ave, C-11, Vero Beach, FL 32960-0504
	(772) 321-2291
	(772) 617-2179

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shakti Sutriasa
Gender	Female
Speciality	Social Worker - Clinical
Location	1850 43rd Ave, Vero Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750660841
Provider Enumeration Date: 08/08/2011
Last Update Date: 12/23/2022

Medicare PECOS Information:

PECOS PAC ID: 2961639232
Enrollment ID: I20131211001423

Medical Identifiers

Medical identifiers for Ms Shakti Sutriasa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750660841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW 11579 (Florida)	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 Shakti Sutriasa allows following entities to bill medicare on her behalf.

Entity Name	Decide Differently Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033548805 PECOS PAC ID: 4587891841 Enrollment ID: O20131211001185

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 Shakti Sutriasa 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 Shakti Sutriasa, MSW Po Box 4467, Rollingbay, WA 98061-0467 Ph: (206) 486-4338	Ms Shakti Sutriasa, MSW 1850 43rd Ave, C-11, Vero Beach, FL 32960-0504 Ph: (772) 321-2291

Reviews and Comments

Social Worker in Vero Beach, FL

Trina Marie Laughlin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3150 Cardinal Dr Ste 201, Vero Beach, FL 32963 Phone: 772-321-3239 Fax: 800-951-3401
Jerri Ann Moore-dencause, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 27th St, Vero Beach, FL 32960 Phone: 772-257-8224 Fax: 772-213-3157
Carla Vega Powell, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4915 47th Pl, Vero Beach, FL 32967 Phone: 772-559-0006
Jessica Abadia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8956 103rd Ave, Vero Beach, FL 32967 Phone: 305-742-5328 Fax: 772-770-6739
Debra Fegal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1553 Us Highway 1, Vero Beach, FL 32960 Phone: 772-257-8224 Fax: 772-213-3157
Mr. Brett A Hall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7445 16th Mnr, Vero Beach, FL 32966 Phone: 630-901-5740
Carolyn Patricia Hallinan, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 Union St, Vero Beach, FL 32966 Phone: 863-370-2728

Ms Shakti Sutriasa, MSW - Medicare Clinical Social Worker in Vero Beach, FL