Mr Shane Devinne King, is a medicare enrolled "Social Worker - Clinical" provider in Westchester, New York. His current practice location is
226 Linda Avenue, Westchester, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 773-7680.
Mr Shane Devinne King is licensed to practice in New York (license number 091304) 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 1770986275.
Healthcare Provider's Profile
Full Name | Mr Shane Devinne King |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 226 Linda Avenue, Westchester, New York |
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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: 1770986275
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 09/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 6709298425
- Enrollment ID: I20201221002485
Medical Identifiers
Medical identifiers for Mr Shane Devinne King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770986275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 091304 (New York) | 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 Shane Devinne King allows following entities to bill medicare on his behalf.
Entity Name | Jewish Board Of Family & Childrens Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048 |
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Entity Name | Reflective Therapy Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134700610 PECOS PAC ID: 4880070739 Enrollment ID: O20220930000731 |
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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. Mr Shane Devinne King 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 Shane Devinne King, 226 Linda Ave, Westchester, NY 10532 Ph: (914) 773-7680 | Mr Shane Devinne King, 226 Linda Avenue, Westchester, NY 10532 Ph: (914) 773-7680 |
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