Katie Ann Louise Shaw, LICSW in Andover, MN - Medicare Social Worker Provider

Katie Ann Louise Shaw, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Andover, Minnesota. Her current practice location is 1875 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 482-9598.

Katie Ann Louise Shaw is licensed to practice in Minnesota (license number 16455LICSW) 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 1518046374.

Contact Information

	Katie Ann Louise Shaw, LICSW
	1875 Station Pkwy Nw, Andover, MN 55304-3319
	(763) 482-9598
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Ann Louise Shaw
Gender	Female
Speciality	Social Worker - Clinical
Location	1875 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518046374
Provider Enumeration Date: 11/03/2006
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9931203007
Enrollment ID: I20070329000211

Medical Identifiers

Medical identifiers for Katie Ann Louise Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518046374	NPI	-	NPPES
061637100	Other		MEDICAL ASSISTANCE MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	16455LICSW (Minnesota)	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. Katie Ann Louise Shaw allows following entities to bill medicare on her behalf.

Entity Name	Rum River Counseling, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915

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. Katie Ann Louise Shaw 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
Katie Ann Louise Shaw, LICSW 4050 147th Ln Nw, Andover, MN 55304-3124 Ph: (612) 840-9735	Katie Ann Louise Shaw, LICSW 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598

Reviews and Comments

Social Worker in Andover, MN

Mrs. Sheila Lynn Kosek, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447
Ms. Amber Crystal Schneider, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Sarah Victoria King, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Susan C Wasilk, M.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Suite 106, Andover, MN 55304 Phone: 612-388-1543
Brittney Wacek, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Ms. Maria Trenda, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447
Margaret Rose Ives, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304 Phone: 612-900-0233

Katie Ann Louise Shaw, LICSW - Medicare Clinical Social Worker in Andover, MN