Shannon Bernice Westphal, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hustisford, Wisconsin. Her current practice location is
139 North Lake Street, Hustisford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 226-0391.
Shannon Bernice Westphal is licensed to practice in Wisconsin (license number 10144-123) 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 1245819200.
Healthcare Provider's Profile
Full Name | Shannon Bernice Westphal |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 139 North Lake Street, Hustisford, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245819200
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436523347
- Enrollment ID: I20230316000148
Medical Identifiers
Medical identifiers for Shannon Bernice Westphal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245819200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 10144-123 (Wisconsin) | Primary |
104100000X | Social Worker | 131945 (Wisconsin) | Secondary |
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 Bernice Westphal allows following entities to bill medicare on her behalf.
Entity Name | Alarus Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457788242 PECOS PAC ID: 8022231026 Enrollment ID: O20140520001508 |
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Entity Name | Living For Liberation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194423830 PECOS PAC ID: 0143686790 Enrollment ID: O20230524000610 |
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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 Bernice Westphal 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 Bernice Westphal, MSW, LCSW Po Box 131, Hustisford, WI 53034-0131 Ph: (262) 224-7721 | Shannon Bernice Westphal, MSW, LCSW 139 North Lake Street, Hustisford, WI 53034-9507 Ph: (262) 226-0391 |
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