Ebony Shimin, LCSW in Louisville, KY - Medicare Social Worker Provider

Ebony Shimin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Kentucky. Her current practice location is 10331 Champion Farms Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 975-2960.

Ebony Shimin is licensed to practice in Kentucky (license number 259696) 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 1770301665.

Contact Information

	Ebony Shimin, LCSW
	10331 Champion Farms Dr, Louisville, KY 40241-6129
	(502) 975-2960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony Shimin
Gender	Female
Speciality	Social Worker - Clinical
Location	10331 Champion Farms Dr, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770301665
Provider Enumeration Date: 09/30/2024
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6709311400
Enrollment ID: I20241118003369

Medical Identifiers

Medical identifiers for Ebony Shimin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770301665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	259696 (Kentucky)	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 Shimin allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081

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 Shimin 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 Shimin, LCSW 8303 Dalton Ridge Pl, Louisville, KY 40258-4627 Ph: (502) 533-8458	Ebony Shimin, LCSW 10331 Champion Farms Dr, Louisville, KY 40241-6129 Ph: (502) 975-2960

Reviews and Comments

Social Worker in Louisville, KY

Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840
Cha'reme Poynter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1028 Barret Ave, Louisville, KY 40204 Phone: 502-451-1221
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602
Ms. Elizabeth Ann Alvarado, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 S 1st St, Louisville, KY 40203 Phone: 502-585-9444 Fax: 502-585-9466

Ebony Shimin, LCSW - Medicare Clinical Social Worker in Louisville, KY