Mrs Shannon Marie Koch, LCSW in West Hartford, CT - Medicare Social Worker Provider

Mrs Shannon Marie Koch, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Hartford, Connecticut. Her current practice location is 430 New Park Ave Ste 102, West Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (585) 553-6370.

Mrs Shannon Marie Koch is licensed to practice in New York (license number 086570) 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 1770918716.

Contact Information

	Mrs Shannon Marie Koch, LCSW
	430 New Park Ave Ste 102, West Hartford, CT 06110-1142
	(585) 553-6370
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannon Marie Koch
Gender	Female
Speciality	Social Worker - Clinical
Location	430 New Park Ave Ste 102, West Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770918716
Provider Enumeration Date: 09/10/2013
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7416210281
Enrollment ID: I20180409000139

Medical Identifiers

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

Identifier	Type	State	Issuer
1770918716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13934 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	086570 (New York)	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 Marie Koch allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Psychology Of Ny Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104315068 PECOS PAC ID: 0749536852 Enrollment ID: O20180703001311

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 Marie Koch 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 Marie Koch, LCSW 5130 E Main Street Rd, Suite 2, Batavia, NY 14020-3444 Ph: (585) 344-1421	Mrs Shannon Marie Koch, LCSW 430 New Park Ave Ste 102, West Hartford, CT 06110-1142 Ph: (585) 553-6370

Reviews and Comments

Social Worker in West Hartford, CT

Jamie A Udeh, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 998 Farmington Ave Ste 201, West Hartford, CT 06107 Phone: 860-952-9070
Mr. David Lawrence-hawley, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 61 S Main St Ste 214, West Hartford, CT 06107 Phone: 860-969-2399 Fax: 860-215-3016
Mary Dineen Elovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 N Quaker Ln, West Hartford, CT 06119 Phone: 860-463-1192
Mrs. Dawn Mcvey Cohen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 N Main St, Suite 303, West Hartford, CT 06107 Phone: 860-838-4735
Ms. Regina Grant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Abbotsford Ave, West Hartford, CT 06110 Phone: 860-951-5456
Mr. Gary Steven Gianini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 S Main St, West Hartford, CT 06107 Phone: 860-233-0548 Fax: 860-236-0253
Ms. Kathleen Johndrow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 N Main St, West Hartford, CT 06107 Phone: 860-838-4752

Mrs Shannon Marie Koch, LCSW - Medicare Clinical Social Worker in West Hartford, CT