Shannon Wagoner, LCSW in Carmel, IN - Medicare Social Worker Provider

Shannon Wagoner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carmel, Indiana. Her current practice location is 697 Pro Med Ln, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 574-1254.

Shannon Wagoner is licensed to practice in Indiana (license number 34007200A) 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 1760191399.

Contact Information

	Shannon Wagoner, LCSW
	697 Pro Med Ln, Carmel, IN 46032-5323
	(317) 574-1254
	(317) 674-0060

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Wagoner
Gender	Female
Speciality	Social Worker - Clinical
Location	697 Pro Med Ln, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760191399
Provider Enumeration Date: 11/22/2022
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4486029451
Enrollment ID: I20230404002084

Medical Identifiers

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

Identifier	Type	State	Issuer
1760191399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34007200A (Indiana)	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 Wagoner allows following entities to bill medicare on her behalf.

Entity Name	Aspire Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190

Entity Name	Aspire Indiana Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749

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 Wagoner 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 Wagoner, LCSW 9615 E 148th St Ste 1, Noblesville, IN 46060-4371 Ph: (317) 574-1254	Shannon Wagoner, LCSW 697 Pro Med Ln, Carmel, IN 46032-5323 Ph: (317) 574-1254

Reviews and Comments

Social Worker in Carmel, IN

Mrs. Susan Lynn Glassburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 703 Pro-med Ln, Suite 200, Carmel, IN 46032 Phone: 317-843-9922 Fax: 317-581-3918
Mrs. Donna J Ganote, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Medical Drive, #c2b, Carmel, IN 46032 Phone: 317-848-5600 Fax: 317-848-5573
Mrs. Geraldine Melvin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Pro-med Ln, Carmel, IN 46032 Phone: 317-587-0567 Fax: 317-574-1230
Annette Kreider, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 E Carmel Dr, Carmel, IN 46032 Phone: 317-581-1013
Ashlyn Marie Berry, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1185 W Carmel Dr Ste D4, Carmel, IN 46032 Phone: 317-569-5433
Sarah Margaret Erotas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2924 Village Park South Dr, Carmel, IN 46033 Phone: 317-354-6939
Melissa Passon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 697 Pro-med Ln, Carmel, IN 46032 Phone: 317-574-1254 Fax: 317-674-0060

Shannon Wagoner, LCSW - Medicare Clinical Social Worker in Carmel, IN