Shevonne Richardson, in Passaic, NJ - Medicare Social Worker Provider

Shevonne Richardson, is a medicare enrolled "Social Worker - Clinical" provider in Passaic, New Jersey. Her current practice location is 85 Crescent Ave, Passaic, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 435-6717.

Shevonne Richardson is licensed to practice in New York (license number 091500) 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 1821717927.

Contact Information

	Shevonne Richardson,
	85 Crescent Ave, Passaic, NJ 07055-2437
	(917) 435-6717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shevonne Richardson
Gender	Female
Speciality	Social Worker - Clinical
Location	85 Crescent Ave, Passaic, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821717927
Provider Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 4284010778
Enrollment ID: I20221006002658

Medical Identifiers

Medical identifiers for Shevonne Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821717927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	091500 (New York)	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. Shevonne Richardson allows following entities to bill medicare on her behalf.

Entity Name	Urban Family Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164594099 PECOS PAC ID: 7517935059 Enrollment ID: O20040922000333

Entity Name	Senior Care Therapy Lcsw Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932677168 PECOS PAC ID: 7113269010 Enrollment ID: O20190424002784

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. Shevonne Richardson 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
Shevonne Richardson, 912 Ralph Ave, Brooklyn, NY 11236-1015 Ph: (917) 435-6717	Shevonne Richardson, 85 Crescent Ave, Passaic, NJ 07055-2437 Ph: (917) 435-6717

Reviews and Comments

Social Worker in Passaic, NJ

Alexander Fleischer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 Brook Ave, Passaic, NJ 07055 Phone: 917-213-0749
Sara Katz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638
Ms. Abril Lazaro, LSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638
Suzanne L Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 Fax: 973-777-9311
Dr. Simon Y Feuerman, PSYD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Main Ave, Suite B, Passaic, NJ 07055 Phone: 973-249-8111
Rivkah Weldler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638
Lisa Ann Lussier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-264-0022

Shevonne Richardson, - Medicare Clinical Social Worker in Passaic, NJ