Shawnteal Nicole Pernell, LMSW in Dearborn, MI - Medicare Social Worker Provider

Shawnteal Nicole Pernell, LMSW is a medicare enrolled "Social Worker" provider in Dearborn, Michigan. Her current practice location is 1 Parklane Blvd, Suite 1210e, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 283-8661.

Shawnteal Nicole Pernell is licensed to practice in Michigan (license number 6801090355) 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 1861857799.

Contact Information

	Shawnteal Nicole Pernell, LMSW
	1 Parklane Blvd, Suite 1210e, Dearborn, MI 48126-2400
	(313) 283-8661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawnteal Nicole Pernell
Gender	Female
Speciality	Social Worker
Location	1 Parklane Blvd, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861857799
Provider Enumeration Date: 12/18/2015
Last Update Date: 10/05/2018

Medicare PECOS Information:

PECOS PAC ID: 7416251467
Enrollment ID: I20160211000908

Medical Identifiers

Medical identifiers for Shawnteal Nicole Pernell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861857799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801090355 (Michigan)	Secondary
104100000X	Social Worker	6801090355 (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. Shawnteal Nicole Pernell allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086

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. Shawnteal Nicole Pernell 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
Shawnteal Nicole Pernell, LMSW 20529 Charlton Sq, 201, Southfield, MI 48076-4061 Ph: () -	Shawnteal Nicole Pernell, LMSW 1 Parklane Blvd, Suite 1210e, Dearborn, MI 48126-2400 Ph: (313) 283-8661

Reviews and Comments

Social Worker in Dearborn, MI

Manar Alasady, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6451 Schaefer Rd, Dearborn, MI 48126 Phone: 313-945-8138
Erin Benay Martinez-gilliard, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15350 N Commerce Dr, Suite 204, Dearborn, MI 48120 Phone: 313-429-3766 Fax: 313-406-6433
Terri Cole Pilarski, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22300 Cherry Hill St, Dearborn, MI 48124 Phone: 847-922-9467
Stephen James Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23400 Michigan Ave, Suite 405, Dearborn, MI 48124 Phone: 810-744-3600 Fax: 810-744-2597
Kathleen Ransome, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5500 Auto Club Dr Ste 350, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090
Ban Jabro, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13840 W Warren Ave, Dearborn, MI 48126 Phone: 313-581-7287
Sarah Wiese, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19855 Outer Dr Ste 300, Dearborn, MI 48124 Phone: 313-359-1977

Shawnteal Nicole Pernell, LMSW - Medicare Clinical Social Worker in Dearborn, MI