Shannon Hickey, LCSW in Fort Drum, NY - Medicare Social Worker Provider

Shannon Hickey, LCSW is a medicare enrolled "Social Worker" provider in Fort Drum, New York. Her current practice location is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can reach out to her office (for appointments etc.) via phone at (315) 772-2015.

Shannon Hickey is licensed to practice in New York (license number 089654-01) 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 1376086488.

Contact Information

	Shannon Hickey, LCSW
	11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438
	(315) 772-2015
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Hickey
Gender	Female
Speciality	Social Worker
Location	11050 Mount Belvedere Blvd, Fort Drum, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376086488
Provider Enumeration Date: 11/21/2016
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9638585805
Enrollment ID: I20210312001500

Medical Identifiers

Medical identifiers for Shannon Hickey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376086488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089654-01 (New York)	Secondary
104100000X	Social Worker	089654-01 (New York)	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. Shannon Hickey allows following entities to bill medicare on her behalf.

Entity Name	River Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003814641 PECOS PAC ID: 2567372899 Enrollment ID: O20040614001352

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. Shannon Hickey 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
Shannon Hickey, LCSW 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-0215	Shannon Hickey, LCSW 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-2015

Reviews and Comments

Social Worker in Fort Drum, NY

Ms. Mary Angela Macculloch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-7624
Brittney Welborn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1st Street West, P36, Fort Drum, NY 13602 Phone: 315-772-2873
Mr. John W Cadin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddaccredentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
Carolyn Munich, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-0977
Jean Reynolds Truitt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498
Semaj Talina Grant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2557
Mr. Stephen William Plumb, LISW, LICSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498

Shannon Hickey, LCSW - Medicare Clinical Social Worker in Fort Drum, NY