Carmen Shelbrack, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sud Specialty Group - Ca and her current practice location is
470 E 3rd St Ste C, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 620-5712.
Carmen Shelbrack is licensed to practice in California (license number 107671) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063066348.
Healthcare Provider's Profile
| Full Name | Carmen Shelbrack |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 470 E 3rd St Ste C, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carmen Shelbrack graduated from medical school in 2019
NPI Data:
- NPI Number: 1063066348
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507227550
- Enrollment ID: I20230807003126
Medical Identifiers
Medical identifiers for Carmen Shelbrack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063066348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 90865 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107671 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Carmen Shelbrack allows following entities to bill medicare on her behalf.
| Entity Name | Sal Psychiatry Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962028936
PECOS PAC ID: 9335565506
Enrollment ID: O20200818003587 |
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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. Carmen Shelbrack 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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Carmen Shelbrack,
470 E 3rd St Ste C,
Los Angeles, CA 90013-1630
Ph: (213) 620-5712 | Carmen Shelbrack,
470 E 3rd St Ste C,
Los Angeles, CA 90013-1630
Ph: (213) 620-5712 |
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