Shannon L Douglas, LMSW, CAADC in Jackson, MI - Medicare Social Worker Provider

Shannon L Douglas, LMSW, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Michigan. Her current practice location is 2424 W Washington Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 205-6788.

Shannon L Douglas is licensed to practice in Michigan (license number 6801113543) 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 1225545650.

Contact Information

	Shannon L Douglas, LMSW, CAADC
	2424 W Washington Ave, Jackson, MI 49203-1236
	(517) 205-6788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon L Douglas
Gender	Female
Speciality	Social Worker - Clinical
Location	2424 W Washington Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225545650
Provider Enumeration Date: 01/08/2018
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8426494600
Enrollment ID: I20240311000900

Medical Identifiers

Medical identifiers for Shannon L Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225545650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801113543 (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. Shannon L Douglas allows following entities to bill medicare on her behalf.

Entity Name	Family Service And Childrens Aid
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699861609 PECOS PAC ID: 5698669612 Enrollment ID: O20041112000406

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 L Douglas 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 L Douglas, LMSW, CAADC 2424 W Washington Ave, Jackson, MI 49203-1236 Ph: (517) 205-6788	Shannon L Douglas, LMSW, CAADC 2424 W Washington Ave, Jackson, MI 49203-1236 Ph: (517) 205-6788

Reviews and Comments

Social Worker in Jackson, MI

Mrs. Linda Belcher, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9354 Lee Rd, Jackson, MI 49201 Phone: 517-796-4559
Karen Lizeth Hernandez Martinez, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5444
Bonnie Kae-macduff Holiday, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2301 E Michigan Ave, Suite 107, Jackson, MI 49202 Phone: 517-784-3730 Fax: 517-764-4596
Barbara O'connor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 Fax: 517-783-2359
Karalee Marie Mills, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4150
Ingrid Sekhon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 W Monroe St, Suite 500, Jackson, MI 49202 Phone: 517-788-8330
Kathleen Patricia Mahoney, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4730 Fax: 517-788-4701

Shannon L Douglas, LMSW, CAADC - Medicare Clinical Social Worker in Jackson, MI