Suellen Shively-mack, LCSW - Medicare Clinical Social Worker in Elgin, IL

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Suellen Shively-mack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Elgin, Illinois. Her current practice location is 240 Standish St, Elgin, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 742-5717.

Suellen Shively-mack is licensed to practice in Illinois (license number 149.010072) 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 1205197415.

Contact Information

Suellen Shively-mack, LCSW
240 Standish St,
Elgin, IL 60123-6421
(847) 742-5717
(847) 742-8154

Map and Direction




Healthcare Provider's Profile

Full NameSuellen Shively-mack
GenderFemale
SpecialitySocial Worker - Clinical
Location240 Standish St, Elgin, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205197415
  • Provider Enumeration Date: 06/04/2012
  • Last Update Date: 06/04/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2769929017
  • Enrollment ID: I20240805000203

Medical Identifiers

Medical identifiers for Suellen Shively-mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205197415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.010072 (Illinois)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. Suellen Shively-mack allows following entities to bill medicare on her behalf.
Entity NameValley Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023739604
PECOS PAC ID: 4688021785
Enrollment ID: O20231110002403

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. Suellen Shively-mack 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 AddressPractice Location Address
Suellen Shively-mack, LCSW
240 Standish St,
Elgin, IL 60123-6421

Ph: (847) 742-5717		Suellen Shively-mack, LCSW
240 Standish St,
Elgin, IL 60123-6421

Ph: (847) 742-5717

Reviews and Comments


Social Worker in Elgin, IL

Ms. Jane Hansen, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Larkin Ave, Suite 202, Elgin, IL 60123
Phone: 847-468-1550    Fax: 773-751-2250
Dr. William Bautista, DSW, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2205 Point Blvd Ste 210, Elgin, IL 60123
Phone: 847-946-2958    
Mariah Jennifer Kuick, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1845 Grandstand Pl, Elgin, IL 60123
Phone: 847-695-0484    
Tanya Pinto,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1140 N Mclean Blvd # 1, Elgin, IL 60123
Phone: 847-695-3680    
Jillian Thorson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 564 Douglas Ave, Elgin, IL 60120
Phone: 708-240-3011    
Mrs. Katie L Hazek, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 474 Summit St, Elgin, IL 60120
Phone: 630-457-7646    
Gregory Schauble, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Royal Blvd, Elgin, IL 60123
Phone: 224-558-0365    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.