Latasha Shannon, LMSW, CAADC is a medicare enrolled "Social Worker" provider in Plymouth, Michigan. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
447 Forest Ave Ste 1, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 635-3499.
Latasha Shannon is licensed to practice in Michigan (license number 6801089411) 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 1669754271.
Healthcare Provider's Profile
| Full Name | Latasha Shannon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 447 Forest Ave Ste 1, Plymouth, Michigan |
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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:
- Latasha Shannon graduated from medical school in 2007
NPI Data:
- NPI Number: 1669754271
- Provider Enumeration Date: 09/09/2011
- Last Update Date: 03/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335397330
- Enrollment ID: I20120917000784
Medical Identifiers
Medical identifiers for Latasha Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669754271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02511 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801089411 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801089411 (Michigan) | 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. Latasha Shannon allows following entities to bill medicare on her behalf.
| Entity Name | Alliance Behavioral Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275178402
PECOS PAC ID: 5294162053
Enrollment ID: O20200218000481 |
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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. Latasha 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 |
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Latasha Shannon, LMSW, CAADC
447 Forest Ave Ste 1,
Plymouth, MI 48170-1721
Ph: (734) 635-3499 | Latasha Shannon, LMSW, CAADC
447 Forest Ave Ste 1,
Plymouth, MI 48170-1721
Ph: (734) 635-3499 |
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