Justin Shaffer, LCSW, LAC, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. He graduated from healthcare school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Poudre Valley Health Care Inc and his current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 495-8020.
Justin Shaffer is licensed to practice in Colorado (license number CSW.09923153) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548696719.
Healthcare Provider's Profile
| Full Name | Justin Shaffer |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
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| Accepts Medicare Assignments | Yes. He 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:
- Justin Shaffer graduated from medical school in 2010
NPI Data:
- NPI Number: 1548696719
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981990108
- Enrollment ID: I20160914000246
Medical Identifiers
Medical identifiers for Justin Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548696719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000347 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923153 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poudre Valley Health Care Inc | 7618880709 | 95 |
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. Justin Shaffer allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Justin Shaffer 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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Justin Shaffer, LCSW, LAC, MSW
4856 Innovation Dr Ste B,
Fort Collins, CO 80525-5540
Ph: (970) 494-4200 | Justin Shaffer, LCSW, LAC, MSW
1024 S Lemay Ave,
Fort Collins, CO 80524-3929
Ph: (970) 495-8020 |
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