Shirley Il Hartman, LCSW in Moorpark, CA - Medicare Social Worker Provider

Shirley Il Hartman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Moorpark, California. Her current practice location is 4279 Tierra Rejada Rd, Moorpark, California. You can reach out to her office (for appointments etc.) via phone at (805) 222-2326.

Shirley Il Hartman is licensed to practice in California (license number 76962) 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 1821468851.

Contact Information

	Shirley Il Hartman, LCSW
	4279 Tierra Rejada Rd, Moorpark, CA 93021-3775
	(805) 222-2326
	(805) 222-2333

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley Il Hartman
Gender	Female
Speciality	Social Worker - Clinical
Location	4279 Tierra Rejada Rd, Moorpark, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821468851
Provider Enumeration Date: 10/02/2015
Last Update Date: 02/07/2018

Medicare PECOS Information:

PECOS PAC ID: 5294095477
Enrollment ID: I20180208000158

Medical Identifiers

Medical identifiers for Shirley Il Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821468851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	76962 (California)	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. Shirley Il Hartman allows following entities to bill medicare on her behalf.

Entity Name	Clinicas Del Camino Real Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679631907 PECOS PAC ID: 3173434396 Enrollment ID: O20040205001238

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. Shirley Il Hartman 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
Shirley Il Hartman, LCSW 1040 Flynn Rd, Camarillo, CA 93012-5092 Ph: (805) 673-3930	Shirley Il Hartman, LCSW 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 Ph: (805) 222-2326

Reviews and Comments

Social Worker in Moorpark, CA

Ms. Jennifer Samantha Richter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12546 Sunnyglen Dr, Moorpark, CA 93021 Phone: 818-825-6244
Genesis Guillen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5297 Maureen Ln, Moorpark, CA 93021 Phone: 805-378-6300
Karen Borczon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6743 Lafayette Ct, Moorpark, CA 93021 Phone: 805-570-2881
Michele Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E High St Ste 102, Moorpark, CA 93021 Phone: 805-552-0171 Fax: 805-552-0171

Shirley Il Hartman, LCSW - Medicare Clinical Social Worker in Moorpark, CA