Shae Marie Havner, LCSW in Menomonie, WI - Medicare Social Worker Provider

Shae Marie Havner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Menomonie, Wisconsin. Her current practice location is 1421 Broadway St N Ste 114b, Menomonie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 308-5742.

Shae Marie Havner is licensed to practice in Wisconsin (license number 9548) 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 1710549183.

Contact Information

	Shae Marie Havner, LCSW
	1421 Broadway St N Ste 114b, Menomonie, WI 54751-4728
	(715) 308-5742
	(888) 972-4831

Map and Direction

Healthcare Provider's Profile

Full Name	Shae Marie Havner
Gender	Female
Speciality	Social Worker - Clinical
Location	1421 Broadway St N Ste 114b, Menomonie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710549183
Provider Enumeration Date: 07/05/2019
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 6901322593
Enrollment ID: I20250428000758

Medical Identifiers

Medical identifiers for Shae Marie Havner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710549183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9548 (Wisconsin)	Primary
104100000X	Social Worker	127423-121 (Wisconsin)	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. Shae Marie Havner allows following entities to bill medicare on her behalf.

Entity Name	Beacon Mental Health Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407379787 PECOS PAC ID: 2668997586 Enrollment ID: O20250423000990

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. Shae Marie Havner 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
Shae Marie Havner, LCSW 1421 Broadway St N Ste 114b, Menomonie, WI 54751-4728 Ph: (715) 308-5742	Shae Marie Havner, LCSW 1421 Broadway St N Ste 114b, Menomonie, WI 54751-4728 Ph: (715) 308-5742

Reviews and Comments

Social Worker in Menomonie, WI

Ms. Florence Anne Ramage, PSY.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1710 5th St W, # 202, Menomonie, WI 54751 Phone: 715-235-5761
Mrs. Kami Marie Ayres, L.C.S.W Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 392 Red Cedar St Ste 3b, Menomonie, WI 54751 Phone: 715-231-2010
Mr. Douglas L Kunick, MSSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 Main St E, Menomonie, WI 54751 Phone: 715-232-1116
Alysha Wilbanks, MSW, APSW, SAC-IT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671
Ms. Kristie L Bugs, MS LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 Main St E, Menomonie, WI 54751 Phone: 715-232-1116
Ms. Kathleen M Moses, MS MFT LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 Main St E, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987

Shae Marie Havner, LCSW - Medicare Clinical Social Worker in Menomonie, WI