Shannon Wagoner, LCSW - Medicare Clinical Social Worker in Carmel, IN

Shannon Wagoner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carmel, Indiana. Her current practice location is 697 Pro Med Ln, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 574-1254.

Shannon Wagoner is licensed to practice in Indiana (license number 34007200A) 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 1760191399.

Contact Information

Shannon Wagoner, LCSW
697 Pro Med Ln,
Carmel, IN 46032-5323
(317) 574-1254
(317) 674-0060

Map and Direction




Healthcare Provider's Profile

Full NameShannon Wagoner
GenderFemale
SpecialitySocial Worker - Clinical
Location697 Pro Med Ln, Carmel, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760191399
  • Provider Enumeration Date: 11/22/2022
  • Last Update Date: 03/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486029451
  • Enrollment ID: I20230404002084

Medical Identifiers

Medical identifiers for Shannon Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760191399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34007200A (Indiana)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 Wagoner allows following entities to bill medicare on her behalf.
Entity NameAspire Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124016050
PECOS PAC ID: 4486635455
Enrollment ID: O20041015000190
Entity NameAspire Indiana Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780068288
PECOS PAC ID: 8921314196
Enrollment ID: O20150902001749

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 Wagoner 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
Shannon Wagoner, LCSW
9615 E 148th St Ste 1,
Noblesville, IN 46060-4371

Ph: (317) 574-1254
Shannon Wagoner, LCSW
697 Pro Med Ln,
Carmel, IN 46032-5323

Ph: (317) 574-1254

Reviews and Comments


Social Worker in Carmel, IN

Mrs. Susan Lynn Glassburn, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 703 Pro-med Ln, Suite 200, Carmel, IN 46032
Phone: 317-843-9922    Fax: 317-581-3918
Mrs. Donna J Ganote, MSW LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 200 Medical Drive, #c2b, Carmel, IN 46032
Phone: 317-848-5600    Fax: 317-848-5573
Mrs. Geraldine Melvin, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 697 Pro-med Ln, Carmel, IN 46032
Phone: 317-587-0567    Fax: 317-574-1230
Annette Kreider, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Carmel Dr, Carmel, IN 46032
Phone: 317-581-1013    
Ashlyn Marie Berry, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1185 W Carmel Dr Ste D4, Carmel, IN 46032
Phone: 317-569-5433    
Sarah Margaret Erotas, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2924 Village Park South Dr, Carmel, IN 46033
Phone: 317-354-6939    
Melissa Passon, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 697 Pro-med Ln, Carmel, IN 46032
Phone: 317-574-1254    Fax: 317-674-0060

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.