Shauntae Willis, LICSW, CDP in Seattle, WA - Medicare Social Worker Provider

Shauntae Willis, LICSW, CDP is a medicare enrolled "Social Worker - Clinical" provider in Seattle, Washington. Her current practice location is 901 Boren Ave, Suite1300, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 619-0028.

Shauntae Willis is licensed to practice in Washington (license number LW 60003495) 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 1790938355.

Contact Information

	Shauntae Willis, LICSW, CDP
	901 Boren Ave, Suite1300, Seattle, WA 98104-3595
	(206) 619-0028
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shauntae Willis
Gender	Female
Speciality	Social Worker - Clinical
Location	901 Boren Ave, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790938355
Provider Enumeration Date: 10/28/2008
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 8527103035
Enrollment ID: I20100309000403

Medical Identifiers

Medical identifiers for Shauntae Willis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790938355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW 60003495 (Washington)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP 00005642 (Washington)	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. Shauntae Willis allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Shauntae Willis 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
Shauntae Willis, LICSW, CDP 901 Boren Ave, Suite 1300, Seattle, WA 98104-3595 Ph: (206) 619-0028	Shauntae Willis, LICSW, CDP 901 Boren Ave, Suite1300, Seattle, WA 98104-3595 Ph: (206) 619-0028

Reviews and Comments

Social Worker in Seattle, WA

Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032
Mr. Patrick Lefebvre Hains, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 Broadway 1st Floor., Seattle, WA 98122 Phone: 206-744-9600 Fax: 206-744-9919
Kathryn Amanda Lidgard, LSWAIC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2100 24th Ave S Ste 260, Seattle, WA 98144 Phone: 206-715-6051
Ms. Molly Grogan, LSWAIC CDPT MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000
Arianna Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580
Paige Hustead Law, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200
Tammie Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 5th Ave Ste 900, Seattle, WA 98104 Phone: 415-444-6062

Shauntae Willis, LICSW, CDP - Medicare Clinical Social Worker in Seattle, WA