Michael Shayne Parks, LCSW in Marion, IL - Medicare Social Worker Provider

Michael Shayne Parks, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marion, Illinois. His current practice location is 3111 Williamson County Pkwy, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 519-9200.

Michael Shayne Parks is licensed to practice in Illinois (license number 149024986) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932818044.

Contact Information

	Michael Shayne Parks, LCSW
	3111 Williamson County Pkwy, Marion, IL 62959-5235
	(618) 519-9200
	(618) 985-9155

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Shayne Parks
Gender	Male
Speciality	Social Worker - Clinical
Location	3111 Williamson County Pkwy, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932818044
Provider Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 1355710666
Enrollment ID: I20221208001589

Medical Identifiers

Medical identifiers for Michael Shayne Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932818044	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149024986 (Illinois)	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. Michael Shayne Parks allows following entities to bill medicare on his behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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. Michael Shayne Parks 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
Michael Shayne Parks, LCSW 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200	Michael Shayne Parks, LCSW 3111 Williamson County Pkwy, Marion, IL 62959-5235 Ph: (618) 519-9200

Reviews and Comments

Social Worker in Marion, IL

Mrs. Susan Elaine Shelton, LCSW, DCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Kelsie Woods, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Mr. Jason Matthew Van Sickle, LCSW, MSCS, COR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5697
Tiffany Todd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Williamson County Pkwy, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155
Rocky Ray Peppers Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5677
Adam Lee Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Ms. Faith Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1307 W Main St, Marion, IL 62959 Phone: 618-997-5336 Fax: 618-993-2969

Michael Shayne Parks, LCSW - Medicare Clinical Social Worker in Marion, IL