Shannon R Martin, LCSW in Glendale, AZ - Medicare Social Worker Provider

Shannon R Martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, Arizona. Her current practice location is 17505 N 79th Ave Ste 304a, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 606-5522.

Shannon R Martin is licensed to practice in Arizona (license number LCSW-13585) 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 1962708685.

Contact Information

	Shannon R Martin, LCSW
	17505 N 79th Ave Ste 304a, Glendale, AZ 85308-8729
	(623) 606-5522
	(623) 878-5800

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon R Martin
Gender	Female
Speciality	Social Worker - Clinical
Location	17505 N 79th Ave Ste 304a, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962708685
Provider Enumeration Date: 01/27/2011
Last Update Date: 07/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4688822570
Enrollment ID: I20120918000906

Medical Identifiers

Medical identifiers for Shannon R Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962708685	NPI	-	NPPES
709592	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-13585 (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 R Martin allows following entities to bill medicare on her behalf.

Entity Name	Elevation Counseling And Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699435230 PECOS PAC ID: 7315345287 Enrollment ID: O20220131002038

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 R Martin 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 R Martin, LCSW 7558 W Thunderbird Rd Ste 1-492, Peoria, AZ 85381-6080 Ph: (623) 606-5522	Shannon R Martin, LCSW 17505 N 79th Ave Ste 304a, Glendale, AZ 85308-8729 Ph: (623) 606-5522

Reviews and Comments

Social Worker in Glendale, AZ

Dr. Suzanne Young Bushfield, PH.D,, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4701 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-543-6609 Fax: 602-543-6612
Mr. Mark Allan Morton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7155 W Campo Bello Dr, Suite C-120, Glendale, AZ 85308 Phone: 623-322-7301 Fax: 602-680-5576
Heather Lynn Castonguay, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6677 W Thunderbird Rd Ste A124, Glendale, AZ 85306 Phone: 480-882-4545
Jeannie M Retamal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6825 W Bell Rd, Glendale, AZ 85308 Phone: 916-396-4882
Ms. Gretchen Barber-lindstrom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6153 W Olive Ave, Glendale, AZ 85302 Phone: 623-930-8705
Emily Baker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6825 W Bell Rd, Glendale, AZ 85308 Phone: 602-486-2182
Angela Mcmullin, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 18205 N 51st Ave Ste 109, Glendale, AZ 85308 Phone: 480-202-9545 Fax: 855-595-2710

Shannon R Martin, LCSW - Medicare Clinical Social Worker in Glendale, AZ