Mr Shad Burnett St Paul, MSW, SUDP, LICSW - Medicare Counselor in Inchelium, WA

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Mr Shad Burnett St Paul, MSW, SUDP, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Inchelium, Washington. His current practice location is 39 Short Cut Road, Inchelium, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 722-7640.

Mr Shad Burnett St Paul is licensed to practice in Washington (license number LW61381427) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033503107.

Contact Information

Mr Shad Burnett St Paul, MSW, SUDP, LICSW
39 Short Cut Road,
Inchelium, WA 99138-0039
(509) 722-7640
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Shad Burnett St Paul
GenderMale
SpecialitySocial Worker - Clinical
Location39 Short Cut Road, Inchelium, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033503107
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 11/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779010251
  • Enrollment ID: I20241223000335

Medical Identifiers

Medical identifiers for Mr Shad Burnett St Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033503107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CP60472921 (Washington)Secondary
1041C0700XSocial Worker - Clinical LW61381427 (Washington)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. Mr Shad Burnett St Paul allows following entities to bill medicare on his behalf.
Entity NameColville Nation Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043335961
PECOS PAC ID: 8820363716
Enrollment ID: O20180208001598

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. Mr Shad Burnett St Paul 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 AddressPractice Location Address
Mr Shad Burnett St Paul, MSW, SUDP, LICSW
Po Box 290,
Inchelium, WA 99138-0290

Ph: (509) 722-7640		Mr Shad Burnett St Paul, MSW, SUDP, LICSW
39 Short Cut Road,
Inchelium, WA 99138-0039

Ph: (509) 722-7640

Reviews and Comments


Social Worker in Inchelium, WA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.