Ms Shannon Nicole Maximov, LCSW in Lake Forest, IL - Medicare Clinical Social Worker Provider

Ms Shannon Nicole Maximov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Forest, Illinois. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 900 N Westmoreland Rd Ste 114, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 695-7542.

Ms Shannon Nicole Maximov is licensed to practice in Illinois (license number 149023293) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245378835.

Contact Information

	Ms Shannon Nicole Maximov, LCSW
	900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680
	(312) 695-7542
	(312) 694-2535

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shannon Nicole Maximov
Gender	Female
Speciality	Clinical Social Worker
Experience	22 Years
Location	900 N Westmoreland Rd Ste 114, Lake Forest, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Shannon Nicole Maximov graduated from medical school in 2004

NPI Data:

NPI Number: 1245378835
Provider Enumeration Date: 02/03/2007
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0446563985
Enrollment ID: I20211202001886

Medical Identifiers

Medical identifiers for Ms Shannon Nicole Maximov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245378835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149023293 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3871

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 Shannon Nicole Maximov allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 Shannon Nicole Maximov 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 Shannon Nicole Maximov, LCSW 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680 Ph: (312) 695-7542	Ms Shannon Nicole Maximov, LCSW 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045-1680 Ph: (312) 695-7542

Reviews and Comments

Social Worker in Lake Forest, IL

Esther Harris, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 Phone: 847-535-6489 Fax: 847-535-7655
Supriya Mohan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045 Phone: 847-535-8060 Fax: 847-535-8070
Jianna Dominique Santello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 Pine Oaks Cir, Lake Forest, IL 60045 Phone: 847-767-5083
Brooke M Jacobs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7058
Karen Spinelli-falberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd Ste 203, Lake Forest, IL 60045 Phone: 847-420-5088 Fax: 847-235-2138
Caleen K Mcgrath, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 764-784-7535

Ms Shannon Nicole Maximov, LCSW - Medicare Clinical Social Worker in Lake Forest, IL