Mrs Bonnie Katherine Shelton, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Worden, Illinois. Her current practice location is
8858 Possum Hill Rd, Worden, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 541-2886.
Mrs Bonnie Katherine Shelton is licensed to practice in Illinois (license number 149026053) 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 1821541574.
Healthcare Provider's Profile
Full Name | Mrs Bonnie Katherine Shelton |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8858 Possum Hill Rd, Worden, Illinois |
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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: 1821541574
- Provider Enumeration Date: 07/29/2016
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486003639
- Enrollment ID: I20231213000995
Medical Identifiers
Medical identifiers for Mrs Bonnie Katherine Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821541574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149026053 (Illinois) | Primary |
224Z00000X | Occupational Therapy Assistant | 057.004002 (Illinois) | Secondary |
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. Mrs Bonnie Katherine Shelton allows following entities to bill medicare on her behalf.
Entity Name | Live Well Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881055838 PECOS PAC ID: 5991002420 Enrollment ID: O20160329002203 |
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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. Mrs Bonnie Katherine Shelton 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 |
Mrs Bonnie Katherine Shelton, MSW, LCSW 8858 Possum Hill Rd, Worden, IL 62097-1020 Ph: (618) 541-2886 | Mrs Bonnie Katherine Shelton, MSW, LCSW 8858 Possum Hill Rd, Worden, IL 62097-1020 Ph: (618) 541-2886 |
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