Tatyana O Shields, LCSW in Princeton, NJ - Medicare Social Worker Provider

Tatyana O Shields, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Princeton, New Jersey. Her current practice location is 3495 Us Highway 1 Ste 34 #1140, Princeton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 305-0335.

Tatyana O Shields is licensed to practice in New Jersey (license number 44SC05995800) 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 1255877429.

Contact Information

	Tatyana O Shields, LCSW
	3495 Us Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603
	(732) 305-0335
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tatyana O Shields
Gender	Female
Speciality	Social Worker - Clinical
Location	3495 Us Highway 1 Ste 34 #1140, Princeton, 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: 1255877429
Provider Enumeration Date: 01/12/2017
Last Update Date: 02/28/2025

Medicare PECOS Information:

PECOS PAC ID: 8628460888
Enrollment ID: I20220120000007

Medical Identifiers

Medical identifiers for Tatyana O Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255877429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05995800 (New Jersey)	Primary
104100000X	Social Worker	099773 (New York)	Secondary

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. Tatyana O Shields allows following entities to bill medicare on her behalf.

Entity Name	Capital Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437516887 PECOS PAC ID: 7618264532 Enrollment ID: O20160921000449

Entity Name	Emotional Wealth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750015160 PECOS PAC ID: 3375924368 Enrollment ID: O20220722000021

Entity Name	Lifebulb Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20230301003017

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. Tatyana O Shields 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
Tatyana O Shields, LCSW 3495 Us Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603 Ph: (732) 305-0335	Tatyana O Shields, LCSW 3495 Us Highway 1 Ste 34 #1140, Princeton, NJ 08540-2603 Ph: (732) 305-0335

Reviews and Comments

Social Worker in Princeton, NJ

Laura L. Shwahla, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Roszel Rd Ste C202, Princeton, NJ 08540 Phone: 609-510-8848
Dana Smith-bryan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 741 Mount Lucas Rd, Princeton, NJ 08540 Phone: 609-613-4820 Fax: 609-613-4821
Sandra Agredo, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4124 Princeton Pike, Princeton, NJ 08540 Phone: 917-364-6162
Ms. Sara Alice Oppenheimer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Stockton St, Princeton, NJ 08540 Phone: 609-924-0060
Dr. Deborah K Greenberg, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Nassau St Ste 313, Princeton, NJ 08542 Phone: 609-924-0203 Fax: 609-921-7275
Mrs. Jennifer R Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 819 Alexander Rd, Princeton, NJ 08540 Phone: 609-452-2088 Fax: 609-452-0627
Ms. Wendy Lee Saling, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 812 State Rd, Suite 220, Princeton, NJ 08540 Phone: 908-892-5640

Tatyana O Shields, LCSW - Medicare Clinical Social Worker in Princeton, NJ