Theresa Sarluca Shannon, in Copiague, NY - Medicare Social Worker Provider

Theresa Sarluca Shannon, is a medicare enrolled "Social Worker - Clinical" provider in Copiague, New York. Her current practice location is 445 Oak St, Copiague, New York. You can reach out to her office (for appointments etc.) via phone at (631) 691-3347.

Theresa Sarluca Shannon is licensed to practice in New York (license number R058454-1) 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 1366532335.

Contact Information

	Theresa Sarluca Shannon,
	445 Oak St, Copiague, NY 11726-3111
	(631) 691-3347
	(631) 691-3728

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Sarluca Shannon
Gender	Female
Speciality	Social Worker - Clinical
Location	445 Oak St, Copiague, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366532335
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8628005535
Enrollment ID: I20050722000254

Medical Identifiers

Medical identifiers for Theresa Sarluca Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366532335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R058454-1 (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. Theresa Sarluca Shannon allows following entities to bill medicare on her behalf.

Entity Name	Family Service League Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463

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. Theresa Sarluca Shannon 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
Theresa Sarluca Shannon, 7 Redlef St, East Patchogue, NY 11772-4596 Ph: (631) 758-6353	Theresa Sarluca Shannon, 445 Oak St, Copiague, NY 11726-3111 Ph: (631) 691-3347

Reviews and Comments

Social Worker in Copiague, NY

Mrs. Greer Julien Slovin, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-691-3387
Miskennelove Losses, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-257-5173
Brittney Ashley Mcpherson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-257-5173
Ms. Constance M Kash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 910 Montauk Hwy, Copiague, NY 11726 Phone: 631-332-9534 Fax: 516-755-3575
Mr. Joseph Michael O'leary, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-692-3387
Ms. Claudia Sherine Arafat-de Jesus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-691-3387

Theresa Sarluca Shannon, - Medicare Clinical Social Worker in Copiague, NY