Mrs Edith Renee Sherman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wynne, Arkansas. Her current practice location is
134 County Road 665, Wynne, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 238-5681.
Mrs Edith Renee Sherman is licensed to practice in Arkansas (license number 2112-M) 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 1629249131.
Healthcare Provider's Profile
Full Name | Mrs Edith Renee Sherman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 134 County Road 665, Wynne, Arkansas |
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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: 1629249131
- Provider Enumeration Date: 03/12/2008
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810350840
- Enrollment ID: I20230824000161
Medical Identifiers
Medical identifiers for Mrs Edith Renee Sherman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629249131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2112-M (Arkansas) | 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. Mrs Edith Renee Sherman allows following entities to bill medicare on her behalf.
Entity Name | Changes Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118 |
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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 Edith Renee Sherman 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 Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 | Mrs Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 |
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