Mr Shalom Franchont Waltenbaugh, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Billings, Montana. His current practice location is
527 Lake Elmo Dr, Billings, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 208-4289.
Mr Shalom Franchont Waltenbaugh is licensed to practice in Montana (license number BBH-LCSW-LIC-43995) 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 1518449222.
Healthcare Provider's Profile
Full Name | Mr Shalom Franchont Waltenbaugh |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 527 Lake Elmo Dr, Billings, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518449222
- Provider Enumeration Date: 08/30/2018
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597181586
- Enrollment ID: I20200820003917
Medical Identifiers
Medical identifiers for Mr Shalom Franchont Waltenbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518449222 | NPI | - | NPPES |
1518449222 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-3393 (Montana) | Secondary |
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-43995 (Montana) | 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 Shalom Franchont Waltenbaugh allows following entities to bill medicare on his behalf.
Entity Name | South Central Montana Regional Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891781787 PECOS PAC ID: 8224936224 Enrollment ID: O20031229000867 |
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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. Mr Shalom Franchont Waltenbaugh 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 |
Mr Shalom Franchont Waltenbaugh, LCSW, LAC 916 Dorothy Ln, Billings, MT 59105-2506 Ph: (406) 208-4289 | Mr Shalom Franchont Waltenbaugh, LCSW, LAC 527 Lake Elmo Dr, Billings, MT 59105-3051 Ph: (406) 208-4289 |
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