Shannon Nicole Blanciak, in Coraopolis, PA - Medicare Social Worker Provider

Shannon Nicole Blanciak, is a medicare enrolled "Social Worker - Clinical" provider in Coraopolis, Pennsylvania. Her current practice location is 254 Foxwood Rd, Coraopolis, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (415) 360-3348.

Shannon Nicole Blanciak is licensed to practice in Pennsylvania (license number CW015155) 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 1801509450.

Contact Information

	Shannon Nicole Blanciak,
	254 Foxwood Rd, Coraopolis, PA 15108-2420
	(415) 360-3348
	(855) 350-5708

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Nicole Blanciak
Gender	Female
Speciality	Social Worker - Clinical
Location	254 Foxwood Rd, Coraopolis, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801509450
Provider Enumeration Date: 12/28/2022
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5890160279
Enrollment ID: I20230418000314

Medical Identifiers

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

Identifier	Type	State	Issuer
1801509450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW015155 (Pennsylvania)	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 Nicole Blanciak allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230418000266

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 Nicole Blanciak 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 Nicole Blanciak, 254 Foxwood Rd, Coraopolis, PA 15108-2420 Ph: (215) 880-5289	Shannon Nicole Blanciak, 254 Foxwood Rd, Coraopolis, PA 15108-2420 Ph: (415) 360-3348

Reviews and Comments

Social Worker in Coraopolis, PA

Idelle Hope Roth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Mill St, Coraopolis, PA 15108 Phone: 412-299-9400 Fax: 412-299-0149
Julia Catanzarite, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Tanker Rd, Coraopolis, PA 15108 Phone: 412-776-7631
Ms. Judith S Mancini, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Mill Street, Coraopolis, PA 15108 Phone: 412-299-6160 Fax: 412-967-9328
Thomas Vincent Sousa, L..C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 134 Long Valley Drive Ext, Coraopolis, PA 15108 Phone: 412-992-1581
Danielle Abdelhak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5001 Stags Leap Ln, Coraopolis, PA 15108 Phone: 412-583-6642
Joshua Hudson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Director Psychological Health 911th Airlift Wing, 2745 Defense Ave, Coraopolis, PA 15108 Phone: 412-474-8813

Shannon Nicole Blanciak, - Medicare Clinical Social Worker in Coraopolis, PA