Colleen R Shaughency, LISW - Medicare Clinical Social Worker in Mansfield, OH

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Colleen R Shaughency, LISW is a medicare enrolled "Social Worker - Clinical" provider in Mansfield, Ohio. Her current practice location is 600 W 3rd St, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 522-6191.

Colleen R Shaughency is licensed to practice in Ohio (license number 10800151) 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 1619123288.

Contact Information

Colleen R Shaughency, LISW
600 W 3rd St,
Mansfield, OH 44906-2633
(419) 522-6191
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameColleen R Shaughency
GenderFemale
SpecialitySocial Worker - Clinical
Location600 W 3rd St, Mansfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619123288
  • Provider Enumeration Date: 08/14/2008
  • Last Update Date: 07/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3678604006
  • Enrollment ID: I20100629000863

Medical Identifiers

Medical identifiers for Colleen R Shaughency such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619123288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical I0800151 (Ohio)Secondary
1041C0700XSocial Worker - Clinical 10800151 (Ohio)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. Colleen R Shaughency allows following entities to bill medicare on her behalf.
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649599119
PECOS PAC ID: 2365423977
Enrollment ID: O20040528000770
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1336252519
PECOS PAC ID: 2365423977
Enrollment ID: O20071009000076
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720407554
PECOS PAC ID: 2365423977
Enrollment ID: O20141020001750
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972053452
PECOS PAC ID: 2365423977
Enrollment ID: O20161212001804
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306499314
PECOS PAC ID: 2365423977
Enrollment ID: O20200420003356

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. Colleen R Shaughency 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 AddressPractice Location Address
Colleen R Shaughency, LISW
669 Morrison Ave,
Mansfield, OH 44904-1531

Ph: () -		Colleen R Shaughency, LISW
600 W 3rd St,
Mansfield, OH 44906-2633

Ph: (419) 522-6191

Reviews and Comments


Social Worker in Mansfield, OH

Deborah Sue Balliett Veley, LISW, LNHA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1365 Beechdale Dr, Mansfield, OH 44907
Phone: 937-532-5084    
Mary L. Pryor, LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 151 Marion Ave, Mansfield, OH 44903
Phone: 419-774-9969    Fax: 419-756-5642
Mrs. Emily A Harstine, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 741 Scholl Rd, Mansfield, OH 44907
Phone: 419-774-6836    
Mr. Paul Hasenauer,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 741 Scholl Rd, Mansfield, OH 44907
Phone: 419-756-1717    Fax: 419-756-2594
Julie Ann Trifiletti, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 741 Scholl Rd, Mansfield, OH 44907
Phone: 419-774-6762    Fax: 419-756-2594
Jennifer M Howe,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 741 Scholl Rd, Mansfield, OH 44907
Phone: 419-774-6892    
Mrs. Elizabeth Anne Daniels, LISW-S
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Lucas Rd, Mansfield, OH 44903
Phone: 419-589-5511    Fax: 419-589-7599

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.