Mr James Samuel Shoemaker, LCSW in Portland, OR - Medicare Social Worker Provider

Mr James Samuel Shoemaker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. His current practice location is 1130 Nw 22nd Ave Ste 220, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-8988.

Mr James Samuel Shoemaker is licensed to practice in Oregon (license number L12412) 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 1083337257.

Contact Information

	Mr James Samuel Shoemaker, LCSW
	1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969
	(503) 413-8988
	(503) 413-5629

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James Samuel Shoemaker
Gender	Male
Speciality	Social Worker - Clinical
Location	1130 Nw 22nd Ave Ste 220, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083337257
Provider Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1456720986
Enrollment ID: I20221206000527

Medical Identifiers

Medical identifiers for Mr James Samuel Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083337257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	L12412 (Oregon)	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. Mr James Samuel Shoemaker allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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. Mr James Samuel Shoemaker 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
Mr James Samuel Shoemaker, LCSW 1544 Se Hawthorne Blvd Apt 3, Portland, OR 97214-3976 Ph: (616) 822-1637	Mr James Samuel Shoemaker, LCSW 1130 Nw 22nd Ave Ste 220, Portland, OR 97210-2969 Ph: (503) 413-8988

Reviews and Comments

Social Worker in Portland, OR

Ms. Claudette Hastie Beahrs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3318 Ne Hancock St, Portland, OR 97212 Phone: 503-249-7215 Fax: 503-335-3444
Ms. Sonya Carmen Strickland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 503-709-6101
Mr. Del R Thornton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 Sw Taylor, #345, Portland, OR 97205 Phone: 503-449-3238
Mrs. Yvette Denine Arey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Road, Bldg 104 Primary Care Clinic, Portland, OR 97207 Phone: 503-220-8262 Fax: 503-273-5210
Mr. Paul Patrick Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Se 14th Ave, Portland, OR 97214 Phone: 503-235-3433 Fax: 503-235-4762
Mrs. Nalini Kuruppu, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 N Holman St, Portland, OR 97217 Phone: 503-753-9157
Jeni Lynne Shilman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2701 Nw Vaughn St, Portland, OR 97210 Phone: 503-499-5200

Mr James Samuel Shoemaker, LCSW - Medicare Clinical Social Worker in Portland, OR