Shannon E Ferry Branaugh, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
541 Willamette St Ste 407a, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 209-0289.
Shannon E Ferry Branaugh is licensed to practice in Oregon (license number L10532) 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 1134590730.
Healthcare Provider's Profile
| Full Name | Shannon E Ferry Branaugh |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 541 Willamette St Ste 407a, Eugene, Oregon |
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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: 1134590730
- Provider Enumeration Date: 10/08/2015
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032526413
- Enrollment ID: I20210331001928
Medical Identifiers
Medical identifiers for Shannon E Ferry Branaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134590730 | NPI | - | NPPES |
| L10532 | Other | OR | LCSW LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L10532 (Oregon) | 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. Shannon E Ferry Branaugh allows following entities to bill medicare on her behalf.
| Entity Name | Teri L Strong Phd Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245635002
PECOS PAC ID: 9436470606
Enrollment ID: O20150616001021 |
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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. Shannon E Ferry Branaugh 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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Shannon E Ferry Branaugh, LCSW
541 Willamette St Ste 407a,
Eugene, OR 97401-2696
Ph: (541) 209-0289 | Shannon E Ferry Branaugh, LCSW
541 Willamette St Ste 407a,
Eugene, OR 97401-2696
Ph: (541) 209-0289 |
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