Kerry Ann Shaughnessy, LICSW in Tacoma, WA - Medicare Social Worker Provider

Kerry Ann Shaughnessy, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Tacoma, Washington. Her current practice location is 6424 N 9th St, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 565-4484.

Kerry Ann Shaughnessy is licensed to practice in Washington (license number 60599869) 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 1740826593.

Contact Information

	Kerry Ann Shaughnessy, LICSW
	6424 N 9th St, Tacoma, WA 98406-2091
	(253) 565-4484
	(253) 565-5823

Map and Direction

Healthcare Provider's Profile

Full Name	Kerry Ann Shaughnessy
Gender	Female
Speciality	Social Worker - Clinical
Location	6424 N 9th St, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740826593
Provider Enumeration Date: 11/26/2019
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 7517301203
Enrollment ID: I20240221002788

Medical Identifiers

Medical identifiers for Kerry Ann Shaughnessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740826593	NPI	-	NPPES
60599869	Other	WA	SOCIAL WORKER INDEPENDENT CLINICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	60599869 (Washington)	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. Kerry Ann Shaughnessy allows following entities to bill medicare on her behalf.

Entity Name	Puyallup Tribal Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482

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. Kerry Ann Shaughnessy 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
Kerry Ann Shaughnessy, LICSW 6424 N 9th St, Tacoma, WA 98406-2091 Ph: (253) 565-4484	Kerry Ann Shaughnessy, LICSW 6424 N 9th St, Tacoma, WA 98406-2091 Ph: (253) 565-4484

Reviews and Comments

Social Worker in Tacoma, WA

June Huelskamp, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1102 A St Unit 771, Tacoma, WA 98401 Phone: 513-607-5448
Mrs. Tracey Hunt, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3126 56th Ave Ne, Tacoma, WA 98422 Phone: 253-335-2412
Mr. C Henry Balderrama, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 S Proctor St, Tacoma, WA 98405 Phone: 253-396-5263
Miss Jennifer I. Soto, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1432 N Baltimore St, Tacoma, WA 98406 Phone: 206-552-9013
Derrick D'abreau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr Sw, Tacoma, WA 98493 Phone: 253-583-2825
Brooke Leah O'flaherty, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-2506
Ms. Lorraine Sue Picha, LCSW, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2755

Kerry Ann Shaughnessy, LICSW - Medicare Clinical Social Worker in Tacoma, WA