Shane Sullivan Simpson, LCSW - Medicare Clinical Social Worker in Lewiston, ME

Shane Sullivan Simpson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lewiston, Maine. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mainegeneral Health, Sweetser and his current practice location is 230 Bartlett St, Lewiston, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 783-4695.

Shane Sullivan Simpson is licensed to practice in Maine (license number LC8693) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053471995.

Contact Information

Shane Sullivan Simpson, LCSW
230 Bartlett St,
Lewiston, ME 04240-6578
(207) 783-4695
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShane Sullivan Simpson
GenderMale
SpecialityClinical Social Worker
Experience22 Years
Location230 Bartlett St, Lewiston, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Sullivan Simpson graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1053471995
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1456323401
  • Enrollment ID: I20040810000727

Medical Identifiers

Medical identifiers for Shane Sullivan Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053471995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LC8693 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainegeneral Health21633165484
Sweetser832594621389

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 Sullivan Simpson allows following entities to bill medicare on his behalf.
Entity NameMainegeneral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932268026
PECOS PAC ID: 2163316548
Enrollment ID: O20040209000708
Entity NameSweetser
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538122445
PECOS PAC ID: 8325946213
Enrollment ID: O20040311001107

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 Sullivan Simpson 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 AddressPractice Location Address
Shane Sullivan Simpson, LCSW
164 Intervale Rd,
New Gloucester, ME 04260-3812

Ph: (207) 807-5610
Shane Sullivan Simpson, LCSW
230 Bartlett St,
Lewiston, ME 04240-6578

Ph: (207) 783-4695

Reviews and Comments


Social Worker in Lewiston, ME

Cynthia K Bailey,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 230 Bartlett St, Lewiston, ME 04240
Phone: 207-783-9141    
Deanne M Jones, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 75 Central Ave, Lewiston, ME 04240
Phone: 207-795-4180    Fax: 207-753-6419
Jill Chatburn, LMSW-CC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1155 Lisbon St, Lewiston, ME 04240
Phone: 207-783-9141    
Jane W Hersey, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 100 Campus Ave Ste A&b, Lewiston, ME 04240
Phone: 207-755-3434    Fax: 207-755-3474
James W Davis, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1155 Lisbon St, Lewiston, ME 04240
Phone: 207-783-9141    
Nathan Miller,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 331 Pine St, Lewiston, ME 04240
Phone: 207-689-5362    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.