Ebony Leree Shorts, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Austin, Indiana. Her current practice location is
2277 W Frontage Rd, Austin, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 413-3605.
Ebony Leree Shorts is licensed to practice in Indiana (license number 34010647A) 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 1861274540.
Healthcare Provider's Profile
Full Name | Ebony Leree Shorts |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2277 W Frontage Rd, Austin, Indiana |
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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: 1861274540
- Provider Enumeration Date: 10/18/2023
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991154429
- Enrollment ID: I20231209000762
Medical Identifiers
Medical identifiers for Ebony Leree Shorts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861274540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34010647A (Indiana) | 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. Ebony Leree Shorts allows following entities to bill medicare on her behalf.
Entity Name | Lifespring Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332 |
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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. Ebony Leree Shorts 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 |
Ebony Leree Shorts, LCSW 3626 Mill Run Cir Apt 1726, Indianapolis, IN 46214-5066 Ph: (951) 531-3790 | Ebony Leree Shorts, LCSW 2277 W Frontage Rd, Austin, IN 47102-8828 Ph: (812) 413-3605 |
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