Charity Faith Shaw Moyado, LCSW in Lisle, IL - Medicare Social Worker Provider

Charity Faith Shaw Moyado, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lisle, Illinois. Her current practice location is 3080 Ogden Ave Ste 104, Lisle, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 270-3522.

Charity Faith Shaw Moyado is licensed to practice in Illinois (license number 149010228) 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 1396825196.

Contact Information

	Charity Faith Shaw Moyado, LCSW
	3080 Ogden Ave Ste 104, Lisle, IL 60532-1693
	(773) 270-3522
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charity Faith Shaw Moyado
Gender	Female
Speciality	Social Worker - Clinical
Location	3080 Ogden Ave Ste 104, Lisle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396825196
Provider Enumeration Date: 10/16/2006
Last Update Date: 10/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8224077623
Enrollment ID: I20050426000583

Medical Identifiers

Medical identifiers for Charity Faith Shaw Moyado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396825196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149010228 (Illinois)	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. Charity Faith Shaw Moyado allows following entities to bill medicare on her behalf.

Entity Name	Charity Shaw-moyado, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962160390 PECOS PAC ID: 3678954930 Enrollment ID: O20220718001802

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. Charity Faith Shaw Moyado 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
Charity Faith Shaw Moyado, LCSW 3080 Ogden Ave Ste 104, Lisle, IL 60532-1693 Ph: (773) 270-3522	Charity Faith Shaw Moyado, LCSW 3080 Ogden Ave Ste 104, Lisle, IL 60532-1693 Ph: (773) 270-3522

Reviews and Comments

Social Worker in Lisle, IL

Angela Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4745 Main St Ste 207, Lisle, IL 60532 Phone: 630-442-1895
Whitney Lynn Lecocq, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Eisenhower Ln Ste 900, Lisle, IL 60532 Phone: 630-428-7890
Dr. Jude M Hines, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 Ogden Ave, Lisle, IL 60532 Phone: 630-778-4500
Mrs. Janelle Aldana, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4721 Winchester Ave, Lisle, IL 60532 Phone: 630-877-4014
Amy B Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Lincoln Ave, Lisle, IL 60532 Phone: 630-524-4000 Fax: 630-524-2311
Janell Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Lincoln Ave Ste Bc, Lisle, IL 60532 Phone: 630-524-4000
Mr. John Lowell Brom, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Commerce Ct Ste 310, Lisle, IL 60532 Phone: 630-544-3324 Fax: 630-544-3325

Charity Faith Shaw Moyado, LCSW - Medicare Clinical Social Worker in Lisle, IL