Shawna Marie Burnham, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bemidji, Minnesota. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is
112 1st St W, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 888-8032.
Shawna Marie Burnham is licensed to practice in Minnesota (license number 26045) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770099731.
Healthcare Provider's Profile
| Full Name | Shawna Marie Burnham |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 112 1st St W, Bemidji, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawna Marie Burnham graduated from medical school in 2022
NPI Data:
- NPI Number: 1770099731
- Provider Enumeration Date: 12/28/2017
- Last Update Date: 02/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 1557841970
- Enrollment ID: I20260216001434
Medical Identifiers
Medical identifiers for Shawna Marie Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770099731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304730 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 26045 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nystrom And Associates Ltd | 6406752492 | 590 |
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. Shawna Marie Burnham allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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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. Shawna Marie Burnham 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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Shawna Marie Burnham, LICSW
112 1st St W,
Bemidji, MN 56601-4002
Ph: (218) 888-8032 | Shawna Marie Burnham, LICSW
112 1st St W,
Bemidji, MN 56601-4002
Ph: (218) 888-8032 |
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