Shawtay D Reese, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
4024 Barrett Dr Ste 201, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 432-5781.
Shawtay D Reese is licensed to practice in North Carolina (license number C008240) 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 1245674605.
Healthcare Provider's Profile
| Full Name | Shawtay D Reese |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4024 Barrett Dr Ste 201, Raleigh, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245674605
- Provider Enumeration Date: 04/29/2013
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961710637
- Enrollment ID: I20150929002270
Medical Identifiers
Medical identifiers for Shawtay D Reese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245674605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C008240 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C008240 (North Carolina) | 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. Shawtay D Reese allows following entities to bill medicare on her behalf.
| Entity Name | Insight Family Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518232560 PECOS PAC ID: 9436387362 Enrollment ID: O20140122000930 |
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| Entity Name | Quality Care Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568595510 PECOS PAC ID: 5294076329 Enrollment ID: O20190417002472 |
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| Entity Name | Peoples Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396308920 PECOS PAC ID: 5698101087 Enrollment ID: O20200203001944 |
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| Entity Name | Peoples Network Agency |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679333827 PECOS PAC ID: 6901347772 Enrollment ID: O20240919002687 |
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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. Shawtay D Reese 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 |
Shawtay D Reese, LCSW, LCAS 3811 Chehaw Dr, Raleigh, NC 27610-6482 Ph: (919) 559-2692 | Shawtay D Reese, LCSW, LCAS 4024 Barrett Dr Ste 201, Raleigh, NC 27609-6625 Ph: (919) 432-5781 |
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