Mr Shane Maylin Pitcher, LCSW in Salt Lake City, UT

Mr Shane Maylin Pitcher, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. His current practice location is 645 S 1300 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 227-8565.

Mr Shane Maylin Pitcher is licensed to practice in Utah (license number 7036797-3502) 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 1487973863.

Contact Information

	Mr Shane Maylin Pitcher, LCSW
	645 S 1300 E, Salt Lake City, UT 84102-3206
	(385) 227-8565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Shane Maylin Pitcher
Gender	Male
Speciality	Social Worker - Clinical
Location	645 S 1300 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487973863
Provider Enumeration Date: 05/24/2010
Last Update Date: 12/18/2020

Medicare PECOS Information:

PECOS PAC ID: 8820416852
Enrollment ID: I20200908002287

Medical Identifiers

Medical identifiers for Mr Shane Maylin Pitcher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487973863	NPI	-	NPPES
7036797-3502	Other	UT	DOPL LISCENCE
7036797-3501	Other	UT	DOPL LISCENCE LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7036797-3502 (Utah)	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 Maylin Pitcher allows following entities to bill medicare on his behalf.

Entity Name	Odyssey House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116

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 Maylin Pitcher 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 Maylin Pitcher, LCSW 5626 Vista Ridge Way, Kearns, UT 84118-9354 Ph: (801) 894-8548	Mr Shane Maylin Pitcher, LCSW 645 S 1300 E, Salt Lake City, UT 84102-3206 Ph: (385) 227-8565

Reviews and Comments

Social Worker in Salt Lake City, UT

Mr. Glen Ray Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1361 Rebecca Cir, Salt Lake City, UT 84117 Phone: 801-272-7742 Fax: 801-322-2831
Mr. Mark Lynn Duke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 South State, Suite 200, Salt Lake City, UT 84111 Phone: 801-240-3556
Kristine Louise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Va Slc, 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Dr. Joel L Millard, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 700 S, Salt Lake City, UT 84111 Phone: 801-364-8080 Fax: 801-364-8098
Matthew Kael Nisson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100
Michael Keith Slade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2872 S Highland Dr, Salt Lake City, UT 84106 Phone: 801-485-8051
Laura Marie Baumgart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1390 S 1100 E Ste 204, Salt Lake City, UT 84105 Phone: 734-306-1279

Mr Shane Maylin Pitcher, LCSW - Medicare Clinical Social Worker in Salt Lake City, UT