Samuel Edward Shelton, in Bothell, WA - Medicare Social Worker Provider

Samuel Edward Shelton, is a medicare enrolled "Social Worker - Clinical" provider in Bothell, Washington. His current practice location is 817 238th St Se Ste H, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 820-4717.

Samuel Edward Shelton is licensed to practice in Washington (license number LW61096158) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477064236.

Contact Information

	Samuel Edward Shelton,
	817 238th St Se Ste H, Bothell, WA 98021-4309
	(425) 820-4717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Edward Shelton
Gender	Male
Speciality	Social Worker - Clinical
Location	817 238th St Se Ste H, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477064236
Provider Enumeration Date: 10/19/2017
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3779973540
Enrollment ID: I20211209002532

Medical Identifiers

Medical identifiers for Samuel Edward Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477064236	NPI	-	NPPES
SC60701093	Other	WA	LSWAIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61096158 (Washington)	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. Samuel Edward Shelton allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Samuel Edward Shelton 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
Samuel Edward Shelton, 817 238th St Se Ste H, Bothell, WA 98021-4309 Ph: (425) 820-4717	Samuel Edward Shelton, 817 238th St Se Ste H, Bothell, WA 98021-4309 Ph: (425) 820-4717

Reviews and Comments

Social Worker in Bothell, WA

Kailyn Nycol Haberman, MSW, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1621 Seattle Hill Rd Apt Ee3, Bothell, WA 98012 Phone: 920-728-7089
Sharon Lynn Dougan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23217 39th Ave Se, Bothell, WA 98021 Phone: 425-485-2158
Rebekah R Hage, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18516 101st Ave Ne Ste 4, Bothell, WA 98011 Phone: 425-264-4245
Mr. Jesus Anthony Silva, LICSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 Monte Villa Pkwy, Bothell, WA 98021 Phone: 425-408-6000
Mrs. Clarissa Santiago, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3027 183rd St Se, Bothell, WA 98012 Phone: 425-417-4669
Rachael Ashleigh O'riordan, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19801 N Creek Pkwy Ste 200, Bothell, WA 98011 Phone: 425-984-2674 Fax: 425-747-1069
Cher Ann Kier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 425-489-3100 Fax: 877-516-8649

Samuel Edward Shelton, - Medicare Clinical Social Worker in Bothell, WA