Mrs Shanae Marie Bezusko, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Anderson Island, Washington. Her current practice location is
10316 107th Avenue Ct, Anderson Island, Washington. You can reach out to her office (for appointments etc.) via phone at
(971) 314-9513.
Mrs Shanae Marie Bezusko is licensed to practice in Washington (license number LW60788498) 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 1285067942.
Healthcare Provider's Profile
Full Name | Mrs Shanae Marie Bezusko |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10316 107th Avenue Ct, Anderson Island, Washington |
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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: 1285067942
- Provider Enumeration Date: 08/16/2013
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365782240
- Enrollment ID: I20190313001757
Medical Identifiers
Medical identifiers for Mrs Shanae Marie Bezusko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285067942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | SC60479931 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60788498 (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. Mrs Shanae Marie Bezusko allows following entities to bill medicare on her behalf.
Entity Name | Pacmed Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
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Entity Name | Franciscan Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972538312 PECOS PAC ID: 1557254935 Enrollment ID: O20040209000147 |
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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. Mrs Shanae Marie Bezusko 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 |
Mrs Shanae Marie Bezusko, LICSW Po Box 88657, Steilacoom, WA 98388-0657 Ph: (971) 314-9513 | Mrs Shanae Marie Bezusko, LICSW 10316 107th Avenue Ct, Anderson Island, WA 98303-8629 Ph: (971) 314-9513 |
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