Shannon Barbara Michelson, in San Jose, CA - Medicare Social Worker Provider

Shannon Barbara Michelson, is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is 5755 Cottle Rd, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-3419.

Shannon Barbara Michelson is licensed to practice in California (license number LCS21247) 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 1114051679.

Contact Information

	Shannon Barbara Michelson,
	5755 Cottle Rd, San Jose, CA 95123-3640
	(408) 972-3419
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Barbara Michelson
Gender	Female
Speciality	Social Worker - Clinical
Location	5755 Cottle Rd, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114051679
Provider Enumeration Date: 03/15/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8224359484
Enrollment ID: I20150601000810

Medical Identifiers

Medical identifiers for Shannon Barbara Michelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114051679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS21247 (California)	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. Shannon Barbara Michelson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Shannon Barbara Michelson 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
Shannon Barbara Michelson, Po Box 5956, San Jose, CA 95150-5956 Ph: (408) 972-3419	Shannon Barbara Michelson, 5755 Cottle Rd, San Jose, CA 95123-3640 Ph: (408) 972-3419

Reviews and Comments

Social Worker in San Jose, CA

Ritha Canales Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 614 Tully Rd, San Jose, CA 95111 Phone: 408-494-1561 Fax: 408-292-3640
Lynda M Washington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 160 E Virginia St, #280, San Jose, CA 95112 Phone: 408-287-6200 Fax: 408-998-1535
Mr. Darren Folk, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2625 Zanker Rd Ste 101, San Jose, CA 95134 Phone: 408-309-3917
Kevin Cheng, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2001 The Alameda, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-642-6052
Meyerlyn Sanchez, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1671 The Alameda Ste 306, San Jose, CA 95126 Phone: 408-828-2490 Fax: 408-320-4252
Tamara Joyce Wade, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Alexian Dr Ste 110, San Jose, CA 95116 Phone: 408-272-6518 Fax: 408-272-6569
Vanesa Rose Heng, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 637 Boardwalk, San Jose, CA 95112 Phone: 415-554-1100

Shannon Barbara Michelson, - Medicare Clinical Social Worker in San Jose, CA