Miss Shadae Cardoza, is a medicare enrolled "Social Worker - Clinical" provider in Shady Side, Maryland. Her current practice location is
4913 Beech St, Shady Side, Maryland. You can reach out to her office (for appointments etc.) via phone at
(347) 706-0203.
Miss Shadae Cardoza is licensed to practice in District Of Columbia (license number LC200001448) 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 1720841448.
Healthcare Provider's Profile
Full Name | Miss Shadae Cardoza |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4913 Beech St, Shady Side, Maryland |
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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: 1720841448
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 04/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870933302
- Enrollment ID: I20240501002935
Medical Identifiers
Medical identifiers for Miss Shadae Cardoza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720841448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC200001448 (District Of Columbia) | 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. Miss Shadae Cardoza allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
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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. Miss Shadae Cardoza 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 |
Miss Shadae Cardoza, 4913 Beech St, Shady Side, MD 20764-9666 Ph: (347) 706-0203 | Miss Shadae Cardoza, 4913 Beech St, Shady Side, MD 20764-9666 Ph: (347) 706-0203 |
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