Mrs Aneisa Lynn Sherrill-mattox, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boonville, Missouri. Her current practice location is
Insight Dynamics Llc, 413 E Spring Street, Boonville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 882-6400.
Mrs Aneisa Lynn Sherrill-mattox is licensed to practice in Missouri (license number 2011029060) 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 1750788022.
Healthcare Provider's Profile
Full Name | Mrs Aneisa Lynn Sherrill-mattox |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Insight Dynamics Llc, Boonville, Missouri |
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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: 1750788022
- Provider Enumeration Date: 12/02/2014
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335573088
- Enrollment ID: I20200106000943
Medical Identifiers
Medical identifiers for Mrs Aneisa Lynn Sherrill-mattox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750788022 | NPI | - | NPPES |
490078150 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2011029060 (Missouri) | 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. Mrs Aneisa Lynn Sherrill-mattox allows following entities to bill medicare on her behalf.
Entity Name | Insight Dynamics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710698402 PECOS PAC ID: 9335519727 Enrollment ID: O20221229000815 |
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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. Mrs Aneisa Lynn Sherrill-mattox 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 |
Mrs Aneisa Lynn Sherrill-mattox, LCSW 413 E Spring Street, Boonville, MO 65233 Ph: (660) 882-6400 | Mrs Aneisa Lynn Sherrill-mattox, LCSW Insight Dynamics Llc, 413 E Spring Street, Boonville, MO 65233 Ph: (660) 882-6400 |
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