Shane Michael Hamp, LICSW in Woodbury, MN - Medicare Social Worker Provider

Shane Michael Hamp, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Woodbury, Minnesota. His current practice location is 1000 Radio Dr Ste 210, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 365-8298.

Shane Michael Hamp is licensed to practice in Minnesota (license number 27378) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326655093.

Contact Information

	Shane Michael Hamp, LICSW
	1000 Radio Dr Ste 210, Woodbury, MN 55125-8444
	(651) 365-8298
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Michael Hamp
Gender	Male
Speciality	Social Worker - Clinical
Location	1000 Radio Dr Ste 210, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326655093
Provider Enumeration Date: 09/28/2020
Last Update Date: 09/28/2020

Medicare PECOS Information:

PECOS PAC ID: 2264843960
Enrollment ID: I20201202001043

Medical Identifiers

Medical identifiers for Shane Michael Hamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326655093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27378 (Minnesota)	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. Shane Michael Hamp allows following entities to bill medicare on his behalf.

Entity Name	Eagan Counseling Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144311184 PECOS PAC ID: 2860304045 Enrollment ID: O20031105000326

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. Shane Michael Hamp 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
Shane Michael Hamp, LICSW 1750 Norfolk Ave Apt 16, Saint Paul, MN 55116-3056 Ph: (651) 365-8298	Shane Michael Hamp, LICSW 1000 Radio Dr Ste 210, Woodbury, MN 55125-8444 Ph: (651) 365-8298

Reviews and Comments

Social Worker in Woodbury, MN

Alissa Leigh Madden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Suite 355, Woodbury, MN 55125 Phone: 651-730-6151
Colleen M Halley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7650 Currell Blvd, Suite 130, Woodbury, MN 55125 Phone: 651-714-8007
Willie Jean Love-winter, MSSW, LICSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6136 Kalen Ct, Woodbury, MN 55129 Phone: 651-459-0443 Fax: 651-459-4510
Shari Marik-roach, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 Glenross Rd, Woodbury, MN 55125 Phone: 651-399-0979
Mrs. Laura Holton Dabruzzi, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 659 Bielenberg Dr, Woodbury, MN 55125 Phone: 651-259-9700 Fax: 651-259-9780
Ashley Ashbacher, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2040 Woodwinds Drive, Woodbury, MN 55125 Phone: 651-259-9711
Mrs. Mindy Kaye Dombrovski, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000

Shane Michael Hamp, LICSW - Medicare Clinical Social Worker in Woodbury, MN