Shantell Moyers, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Sumner, New Mexico. Her current practice location is
1001 East Sumner Ave, Fort Sumner, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 355-7734.
Shantell Moyers is licensed to practice in New Mexico (license number C-11778) 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 1598270399.
Healthcare Provider's Profile
| Full Name | Shantell Moyers |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1001 East Sumner Ave, Fort Sumner, New Mexico |
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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: 1598270399
- Provider Enumeration Date: 12/04/2017
- Last Update Date: 11/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729348347
- Enrollment ID: I20180130002016
Medical Identifiers
Medical identifiers for Shantell Moyers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598270399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | C-11778 (New Mexico) | 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. Shantell Moyers allows following entities to bill medicare on her behalf.
| Entity Name | De Baca Family Practice Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003855032 PECOS PAC ID: 6406758358 Enrollment ID: O20040122000409 |
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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. Shantell Moyers 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 |
Shantell Moyers, LMSW Po Box 847, Portales, NM 88130-0847 Ph: (575) 562-4458 | Shantell Moyers, LMSW 1001 East Sumner Ave, Fort Sumner, NM 88119-0387 Ph: (575) 355-7734 |
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