Shannon D Terry, LCSW-21341 in Avondale, AZ - Medicare Social Worker Provider

Shannon D Terry, LCSW-21341 is a medicare enrolled "Social Worker - Clinical" provider in Avondale, Arizona. Her current practice location is 235 W Western Ave, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Shannon D Terry is licensed to practice in Arizona (license number LCSW-21341) 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 1861195158.

Contact Information

	Shannon D Terry, LCSW-21341
	235 W Western Ave, Avondale, AZ 85323-1848
	(602) 230-7373
	(602) 230-3086

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon D Terry
Gender	Female
Speciality	Social Worker - Clinical
Location	235 W Western Ave, Avondale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861195158
Provider Enumeration Date: 03/24/2023
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7113392176
Enrollment ID: I20230405002612

Medical Identifiers

Medical identifiers for Shannon D Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861195158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-21341 (Arizona)	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 D Terry allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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 D Terry 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 D Terry, LCSW-21341 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Shannon D Terry, LCSW-21341 235 W Western Ave, Avondale, AZ 85323-1848 Ph: (602) 230-7373

Reviews and Comments

Social Worker in Avondale, AZ

Dr. Shasa Jackson, LCSW, DBH Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-344-6860 Fax: 602-655-9682
Miss Theresa Beltran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13065 W Mcdowell Rd, Suite C-113, Avondale, AZ 85323 Phone: 602-403-1742 Fax: 623-398-8488
Heather Wheeler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10550 W Mcdowell Rd, Avondale, AZ 85392 Phone: 480-565-3064 Fax: 480-500-3902
Leticia Maria Leon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373 Fax: 602-441-5836
Zebunnessa Ahmed, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12212 W Mohave St, Avondale, AZ 85323 Phone: 623-203-4247
Mindy Huang, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12725 W Indian School Rd Ste E101, Avondale, AZ 85392 Phone: 206-304-4469
Ira Roach, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373

Shannon D Terry, LCSW-21341 - Medicare Clinical Social Worker in Avondale, AZ