Mrs Shannon Davidson, LCSW in Hiram, GA - Medicare Social Worker Provider

Mrs Shannon Davidson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hiram, Georgia. Her current practice location is 126 Enterprise Path Ste 201, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 682-0405.

Mrs Shannon Davidson is licensed to practice in Georgia (license number CSW008497) 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 1235839820.

Contact Information

	Mrs Shannon Davidson, LCSW
	126 Enterprise Path Ste 201, Hiram, GA 30141-2654
	(678) 682-0405
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannon Davidson
Gender	Female
Speciality	Social Worker - Clinical
Location	126 Enterprise Path Ste 201, Hiram, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235839820
Provider Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3971968298
Enrollment ID: I20230420000905

Medical Identifiers

Medical identifiers for Mrs Shannon Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235839820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW008497 (Georgia)	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 Shannon Davidson allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149

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 Shannon Davidson 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 Shannon Davidson, LCSW 67 Trace Chain Ct, Hiram, GA 30141-3919 Ph: (678) 682-0405	Mrs Shannon Davidson, LCSW 126 Enterprise Path Ste 201, Hiram, GA 30141-2654 Ph: (678) 682-0405

Reviews and Comments

Social Worker in Hiram, GA

Kimberly Bryant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Enterprise Path, Hiram, GA 30141 Phone: 678-567-0920
Timothy James Whailen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Enterprise Path Ste 301, Hiram, GA 30141 Phone: 706-509-0130 Fax: 706-237-6503
Menyuan Jordan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path Ste 201, Hiram, GA 30141 Phone: 678-567-0920
Edward Miguel Valentin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 126 Enterprise Path Ste 104b, Hiram, GA 30141 Phone: 770-256-7078

Mrs Shannon Davidson, LCSW - Medicare Clinical Social Worker in Hiram, GA