Mrs Shannon Rae Speaks, LISW-S in Hudson, OH - Medicare Social Worker Provider

Mrs Shannon Rae Speaks, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Hudson, Ohio. Her current practice location is 56 Milford Dr, Hudson, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 245-5213.

Mrs Shannon Rae Speaks is licensed to practice in Ohio (license number I.0900288-SUPV) 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 1073122313.

Contact Information

	Mrs Shannon Rae Speaks, LISW-S
	56 Milford Dr, Hudson, OH 44236-2704
	(216) 245-5213
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shannon Rae Speaks
Gender	Female
Speciality	Social Worker - Clinical
Location	56 Milford Dr, Hudson, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073122313
Provider Enumeration Date: 07/22/2020
Last Update Date: 08/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8224437421
Enrollment ID: I20210520000288

Medical Identifiers

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

Identifier	Type	State	Issuer
1073122313	NPI	-	NPPES
I.0900288-SUPV	Other	OH	OHIO COUNSELOR, SOCIAL WORKER & MARRIAGE AND FAMILY THERAPIST BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.0900288-SUPV (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. Mrs Shannon Rae Speaks allows following entities to bill medicare on her behalf.

Entity Name	Kelly Reeves Memorial Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295220986 PECOS PAC ID: 2961885314 Enrollment ID: O20220817001683

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 Rae Speaks 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 Rae Speaks, LISW-S 6933 Saint Regis Blvd, Hudson, OH 44236-3224 Ph: (330) 554-1196	Mrs Shannon Rae Speaks, LISW-S 56 Milford Dr, Hudson, OH 44236-2704 Ph: (216) 245-5213

Reviews and Comments

Social Worker in Hudson, OH

Mrs. Tessa Claire Basco, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192
Caitlin Hagg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 581 Boston Mills Rd Ste 400, Hudson, OH 44236 Phone: 234-348-4459
Kami Imes, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192
Mrs. Juliane Christine Belisle, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 591 Boston Mills Rd Ste 550, Hudson, OH 44236 Phone: 234-269-6200 Fax: 234-602-2192
Russell Alan Buckbee, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Village Way Ste 1a, Hudson, OH 44236 Phone: 330-655-2674
Jennifer Turk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Dr, Hudson, OH 44236 Phone: 216-849-2825

Mrs Shannon Rae Speaks, LISW-S - Medicare Clinical Social Worker in Hudson, OH