Shayna Provencher, LCSW in New London, CT - Medicare Social Worker Provider

Shayna Provencher, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New London, Connecticut. Her current practice location is 164 Hempstead St, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 237-3273.

Shayna Provencher is licensed to practice in Connecticut (license number 13552) 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 1801593199.

Contact Information

	Shayna Provencher, LCSW
	164 Hempstead St, New London, CT 06320-5638
	(860) 237-3273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shayna Provencher
Gender	Female
Speciality	Social Worker - Clinical
Location	164 Hempstead St, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801593199
Provider Enumeration Date: 02/08/2023
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8729438163
Enrollment ID: I20231227000948

Medical Identifiers

Medical identifiers for Shayna Provencher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801593199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13552 (Connecticut)	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. Shayna Provencher allows following entities to bill medicare on her behalf.

Entity Name	Empowering Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174109136 PECOS PAC ID: 8325437825 Enrollment ID: O20211122001108

Entity Name	Chaise Lounge Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477362168 PECOS PAC ID: 8527589969 Enrollment ID: O20250303000524

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. Shayna Provencher 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
Shayna Provencher, LCSW 100 Plaza Ct Po Box 661, Groton, CT 06340-5702 Ph: () -	Shayna Provencher, LCSW 164 Hempstead St, New London, CT 06320-5638 Ph: (860) 237-3273

Reviews and Comments

Social Worker in New London, CT

Ms. Katelyn Baez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 164 Hempstead St, New London, CT 06320 Phone: 860-910-4881
Alexandra Bruce, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-437-4550 Fax: 860-661-4262
Molly Winship, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776
Cheryl Cote, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 Montauk Ave, New London, CT 06320 Phone: 860-271-4700
Erin C Janicek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Vauxhall Street, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776
Pamela Davies, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 255 Hempstead St, New London, CT 06320 Phone: 860-443-2896 Fax: 860-442-5909
Linda Cunningham, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 41 Fair Harbour Pl, New London, CT 06320 Phone: 860-437-6914

Shayna Provencher, LCSW - Medicare Clinical Social Worker in New London, CT