Asya Penzo-shumard, is a medicare enrolled "Social Worker - Clinical" provider in Society Hill, South Carolina. Her current practice location is
737 S Main St, Society Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 378-4501.
Asya Penzo-shumard is licensed to practice in South Carolina (license number 11756) 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 1376994335.
Healthcare Provider's Profile
| Full Name | Asya Penzo-shumard |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 737 S Main St, Society Hill, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376994335
- Provider Enumeration Date: 06/30/2016
- Last Update Date: 09/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406141571
- Enrollment ID: I20160829001255
Medical Identifiers
Medical identifiers for Asya Penzo-shumard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376994335 | NPI | - | NPPES |
| LW1048 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11756 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11756 (South Carolina) | 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. Asya Penzo-shumard allows following entities to bill medicare on her behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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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. Asya Penzo-shumard 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 |
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Asya Penzo-shumard,
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Asya Penzo-shumard,
737 S Main St,
Society Hill, SC 29593-8972
Ph: (843) 378-4501 |
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