Shannon Watson, LCSW is a medicare enrolled "Social Worker" provider in Terrytown, Louisiana. Her current practice location is
613 National Ave, Terrytown, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(504) 606-7416.
Shannon Watson is licensed to practice in Louisiana (license number 7511) 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 1417555129.
Healthcare Provider's Profile
| Full Name | Shannon Watson |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 613 National Ave, Terrytown, Louisiana |
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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: 1417555129
- Provider Enumeration Date: 10/14/2020
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395152177
- Enrollment ID: I20210323000693
Medical Identifiers
Medical identifiers for Shannon Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417555129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 7511 (Louisiana) | Secondary |
| 1041S0200X | Social Worker - School | 7511 (Louisiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7511 (Louisiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 7511 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | 7511 (Louisiana) | Secondary |
| 102L00000X | Psychoanalyst | 7511 (Louisiana) | Secondary |
| 103K00000X | Behavior Analyst | 7511 (Louisiana) | Secondary |
| 106H00000X | Marriage & Family Therapist | 7511 (Louisiana) | Secondary |
| 106S00000X | Behavior Technician | 7511 (Louisiana) | Secondary |
| 171000000X | Military Health Care Provider | 7511 (Louisiana) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 7511 (Louisiana) | Secondary |
| 174H00000X | Health Educator | 7511 (Louisiana) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7511 (Louisiana) | Secondary |
| 104100000X | Social Worker | 7511 (Louisiana) | 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 Watson allows following entities to bill medicare on her behalf.
| Entity Name | S Watson Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770170375
PECOS PAC ID: 3577970359
Enrollment ID: O20210323000555 |
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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 Watson 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 Watson, LCSW
613 National Ave,
Terrytown, LA 70056-2907
Ph: (504) 606-7416 | Shannon Watson, LCSW
613 National Ave,
Terrytown, LA 70056-2907
Ph: (504) 606-7416 |
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