Shannon M Bates, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Medford, Oregon. Her current practice location is
Telehealth From Home, 1857 Brookhurst St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at
(458) 206-4784.
Shannon M Bates is licensed to practice in Oregon (license number L12986) 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 1275007601.
Healthcare Provider's Profile
| Full Name | Shannon M Bates |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | Telehealth From Home, Medford, 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: 1275007601
- Provider Enumeration Date: 01/18/2019
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850783549
- Enrollment ID: I20220107001642
Medical Identifiers
Medical identifiers for Shannon M Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275007601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | ASW70857 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 93649 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | L12986 (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 M Bates allows following entities to bill medicare on her behalf.
| Entity Name | Ah Addiction Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295516128
PECOS PAC ID: 2668916214
Enrollment ID: O20240708000250 |
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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 M Bates 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 |
|---|
Shannon M Bates, MSW, LCSW
303 Twin Dolphin Drive, Suite 600-6002,
Redwood City, CA 94065
Ph: (844) 542-5481 | Shannon M Bates, MSW, LCSW
Telehealth From Home, 1857 Brookhurst St,
Medford, OR 97504
Ph: (458) 206-4784 |
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