Shaa-ista Simmons-wilcox, LMSW in Clinton Twp, MI - Medicare Social Worker Provider

Shaa-ista Simmons-wilcox, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Clinton Twp, Michigan. Her current practice location is 15812 Charleston Dr, Clinton Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 658-3109.

Shaa-ista Simmons-wilcox is licensed to practice in Michigan (license number 6801106740) 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 1699394544.

Contact Information

	Shaa-ista Simmons-wilcox, LMSW
	15812 Charleston Dr, Clinton Twp, MI 48038-1018
	(313) 658-3109
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shaa-ista Simmons-wilcox
Gender	Female
Speciality	Social Worker - Clinical
Location	15812 Charleston Dr, Clinton Twp, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699394544
Provider Enumeration Date: 04/10/2020
Last Update Date: 04/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9537590997
Enrollment ID: I20200519001812

Medical Identifiers

Medical identifiers for Shaa-ista Simmons-wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699394544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801106740 (Michigan)	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. Shaa-ista Simmons-wilcox allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871

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. Shaa-ista Simmons-wilcox 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
Shaa-ista Simmons-wilcox, LMSW 15812 Charleston Dr, Clinton Twp, MI 48038-1018 Ph: (313) 658-3109	Shaa-ista Simmons-wilcox, LMSW 15812 Charleston Dr, Clinton Twp, MI 48038-1018 Ph: (313) 658-3109

Reviews and Comments

Social Worker in Clinton Twp, MI

Ms. Amy Leigh Perugi, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 37772 Charter Oaks Blvd, Clinton Twp, MI 48036 Phone: 586-277-6192 Fax: 586-948-8758
Rachel Helen Fletcher, LLMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 42477 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-231-0306
Victoria Schwager, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44899 Centre Ct, Clinton Twp, MI 48038 Phone: 586-792-1654 Fax: 586-792-1656
Mrs. Kelly Wilson, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39600 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-291-4695
Ms. Irene Despo Kyprianides, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21885 Dunham Rd, Ste 1, Clinton Twp, MI 48036 Phone: 586-469-7714
Briana-raine Lilly Gersky, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24367 Country Squire St Apt 335, Clinton Twp, MI 48035 Phone: 586-943-2686
Arielle Ciampichini, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43740 N Groesbeck Hwy, Clinton Twp, MI 48036 Phone: 586-907-1274

Shaa-ista Simmons-wilcox, LMSW - Medicare Clinical Social Worker in Clinton Twp, MI