Dr Shane Petite Teran, PSYD, MSW, LCSW in Riverside, CA

Dr Shane Petite Teran, PSYD, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Riverside, California. Her current practice location is 8713 Coyote Bush Rd, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (213) 332-6966.

Dr Shane Petite Teran is licensed to practice in California (license number 89934) 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 1376873877.

Contact Information

	Dr Shane Petite Teran, PSYD, MSW, LCSW
	8713 Coyote Bush Rd, Riverside, CA 92508-3027
	(213) 332-6966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shane Petite Teran
Gender	Female
Speciality	Social Worker - Clinical
Location	8713 Coyote Bush Rd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376873877
Provider Enumeration Date: 01/05/2010
Last Update Date: 07/11/2025

Medicare PECOS Information:

PECOS PAC ID: 6901292598
Enrollment ID: I20220407001308

Medical Identifiers

Medical identifiers for Dr Shane Petite Teran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376873877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	89934 (California)	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. Dr Shane Petite Teran allows following entities to bill medicare on her behalf.

Entity Name	Ubuntu Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871116053 PECOS PAC ID: 8729402581 Enrollment ID: O20200727001527

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. Dr Shane Petite Teran 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
Dr Shane Petite Teran, PSYD, MSW, LCSW 8713 Coyote Bush Rd, Riverside, CA 92508-3027 Ph: (213) 332-6966	Dr Shane Petite Teran, PSYD, MSW, LCSW 8713 Coyote Bush Rd, Riverside, CA 92508-3027 Ph: (213) 332-6966

Reviews and Comments

Social Worker in Riverside, CA

Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3499 10th St, Riverside, CA 92501 Phone: 951-955-1560
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave # 4, Riverside, CA 92507 Phone: 951-955-8000
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976

Dr Shane Petite Teran, PSYD, MSW, LCSW - Medicare Clinical Social Worker in Riverside, CA