Shantara L Bussey-martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Miami, Florida. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3510 Biscayne Blvd, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 567-7141.
Shantara L Bussey-martin is licensed to practice in Florida (license number SW19158) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417617028.
Healthcare Provider's Profile
| Full Name | Shantara L Bussey-martin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 3510 Biscayne Blvd, Miami, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shantara L Bussey-martin graduated from medical school in 2018
NPI Data:
- NPI Number: 1417617028
- Provider Enumeration Date: 12/22/2021
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355729930
- Enrollment ID: I20260326003016
Medical Identifiers
Medical identifiers for Shantara L Bussey-martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417617028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW19158 (Florida) | Primary |
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. Shantara L Bussey-martin 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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Shantara L Bussey-martin, LCSW
5710 Ne Miami Ct,
Miami, FL 33137-2063
Ph: (305) 567-3398 | Shantara L Bussey-martin, LCSW
3510 Biscayne Blvd,
Miami, FL 33137-3840
Ph: (954) 567-7141 |
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