Mr Shawn Andrew Pedani, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Canal Fulton, Ohio. His current practice location is
741 Chris Cir, Canal Fulton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 806-1459.
Mr Shawn Andrew Pedani is licensed to practice in Ohio (license number I08000325) 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 1578759825.
Healthcare Provider's Profile
Full Name | Mr Shawn Andrew Pedani |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 741 Chris Cir, Canal Fulton, Ohio |
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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: 1578759825
- Provider Enumeration Date: 09/20/2007
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294001244
- Enrollment ID: I20171019001387
Medical Identifiers
Medical identifiers for Mr Shawn Andrew Pedani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578759825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I08000325 (Ohio) | 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 Shawn Andrew Pedani allows following entities to bill medicare on his behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
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Entity Name | Brightside Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230616001411 |
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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 Shawn Andrew Pedani 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 Shawn Andrew Pedani, LISW-S 741 Chris Cir, Canal Fulton, OH 44614-9326 Ph: (330) 806-1459 | Mr Shawn Andrew Pedani, LISW-S 741 Chris Cir, Canal Fulton, OH 44614-9326 Ph: (330) 806-1459 |
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