Amanda Shaw, in Bloomfield, NJ - Medicare Social Worker Provider

Amanda Shaw, is a medicare enrolled "Social Worker - Clinical" provider in Bloomfield, New Jersey. Her current practice location is 1012 Broad St, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 338-1244.

Amanda Shaw is licensed to practice in New Jersey (license number 44SC05879200) 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 1851934475.

Contact Information

	Amanda Shaw,
	1012 Broad St, Bloomfield, NJ 07003-2807
	(973) 338-1244
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Shaw
Gender	Female
Speciality	Social Worker - Clinical
Location	1012 Broad St, Bloomfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851934475
Provider Enumeration Date: 10/27/2019
Last Update Date: 01/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2961896071
Enrollment ID: I20220304001689

Medical Identifiers

Medical identifiers for Amanda Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851934475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05879200 (New Jersey)	Primary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary

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. Amanda Shaw allows following entities to bill medicare on her behalf.

Entity Name	Valley Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824

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. Amanda Shaw 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
Amanda Shaw, 90 Forsythia Ln, Paramus, NJ 07652-4334 Ph: (201) 575-5001	Amanda Shaw, 1012 Broad St, Bloomfield, NJ 07003-2807 Ph: (973) 338-1244

Reviews and Comments

Social Worker in Bloomfield, NJ

Andrea B Goldberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 324 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-748-0045 Fax: 973-718-2902
Mr. Anthony Hughes Kearney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Belleville Ave, Suite 22, Bloomfield, NJ 07003 Phone: 973-566-0890 Fax: 973-566-0896
Jacques F Maitre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Broad St, Suite 2, Bloomfield, NJ 07003 Phone: 862-621-9175
Trisha As Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Broad Ter, Bloomfield, NJ 07003 Phone: 201-723-1776 Fax: 201-358-9141
Matthew Sidler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-532-2132
Mrs. Karen Lore, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Municipal Plz, Room 213, Bloomfield, NJ 07003 Phone: 973-680-4017
Josephine Ponticello, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Ernst Ave, Bloomfield, NJ 07003 Phone: 973-338-6744 Fax: 973-338-6589

Amanda Shaw, - Medicare Clinical Social Worker in Bloomfield, NJ