Ms Shelly Hansen, in Davenport, IA - Medicare Social Worker Provider

Ms Shelly Hansen, is a medicare enrolled "Social Worker - Clinical" provider in Davenport, Iowa. Her current practice location is 1414 W Lombard St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 326-6431.

Ms Shelly Hansen is licensed to practice in Iowa (license number 107970) 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 1164078762.

Contact Information

	Ms Shelly Hansen,
	1414 W Lombard St, Davenport, IA 52804-2148
	(563) 326-6431
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shelly Hansen
Gender	Female
Speciality	Social Worker - Clinical
Location	1414 W Lombard St, Davenport, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164078762
Provider Enumeration Date: 08/11/2019
Last Update Date: 12/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9830634062
Enrollment ID: I20240712000432

Medical Identifiers

Medical identifiers for Ms Shelly Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164078762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.025995 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	107970 (Iowa)	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. Ms Shelly Hansen allows following entities to bill medicare on her behalf.

Entity Name	Family Resources Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275598054 PECOS PAC ID: 5698841294 Enrollment ID: O20080905000166

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. Ms Shelly Hansen 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
Ms Shelly Hansen, 1414 W Lombard St, Davenport, IA 52804-2148 Ph: (563) 326-6431	Ms Shelly Hansen, 1414 W Lombard St, Davenport, IA 52804-2148 Ph: (563) 326-6431

Reviews and Comments

Social Worker in Davenport, IA

Barbara J Johnson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1441 W. Central Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638
Jennifer A O'hare-marker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4455 E 56th St, Davenport, IA 52807 Phone: 563-355-2577 Fax: 563-355-4015
Ms. Joni Lynn Dittmer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Davenport, IA 52803 Phone: 563-320-4395 Fax: 563-285-4014
Jenna Capesius, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 Fax: 563-328-5690
James Randall Bolton, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638
Candice J. Kundert, L.I.S.W.; L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Bldg G, Davenport, IA 52803 Phone: 563-370-7995
Dr. Harriet A Phelps, PSY.D, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Suite 6, Davenport, IA 52803 Phone: 563-381-8088 Fax: 563-381-8077

Ms Shelly Hansen, - Medicare Clinical Social Worker in Davenport, IA