Shantaye Powell, is a medicare enrolled "Social Worker - Clinical" provider in Metropolis, Illinois. Her current practice location is 
206 W 5th St, Metropolis, Illinois. You can reach out to her office (for appointments etc.) via phone at 
(618) 524-9368.
Shantaye Powell is licensed to practice in * (Not Available) (license number ) 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 1831725050.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Shantaye Powell | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 206 W 5th St, Metropolis, Illinois | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1831725050
 - Provider Enumeration Date: 03/19/2020
 - Last Update Date: 03/19/2020
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 7012441454
 - Enrollment ID: I20241107003887
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Shantaye Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1831725050 | NPI | - | NPPES | 
| 371011136 | Medicaid | IL |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  |  (* (Not Available)) | 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. Shantaye Powell allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa | 
|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237 | 
|---|
		 
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. Shantaye Powell 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 | 
		Shantaye Powell, 206 W 5th St, Metropolis, IL 62960 Ph: () - | Shantaye Powell, 206 W 5th St, Metropolis, IL 62960-1810 Ph: (618) 524-9368 | 
		
		 
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