Mary Elizabeth Sheridan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Morgan, Colorado. Her current practice location is
821 E Railroad Ave, Fort Morgan, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 867-4924.
Mary Elizabeth Sheridan is licensed to practice in Colorado (license number CSW.09926046) 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 1508247891.
Healthcare Provider's Profile
| Full Name | Mary Elizabeth Sheridan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 821 E Railroad Ave, Fort Morgan, Colorado |
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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: 1508247891
- Provider Enumeration Date: 06/12/2015
- Last Update Date: 12/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880021138
- Enrollment ID: I20200226000181
Medical Identifiers
Medical identifiers for Mary Elizabeth Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508247891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09926046 (Colorado) | 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. Mary Elizabeth Sheridan allows following entities to bill medicare on her 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. Mary Elizabeth Sheridan 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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Mary Elizabeth Sheridan, LCSW
211 W Main St,
Sterling, CO 80751-3168
Ph: (970) 522-4549 | Mary Elizabeth Sheridan, LCSW
821 E Railroad Ave,
Fort Morgan, CO 80701-3365
Ph: (970) 867-4924 |
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