Shelli Pollard, LCSW in Belvidere, IL - Medicare Social Worker Provider

Shelli Pollard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Belvidere, Illinois. Her current practice location is 1818 Logan Ave, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 575-9887.

Shelli Pollard is licensed to practice in Illinois (license number 149018509) 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 1053786269.

Contact Information

	Shelli Pollard, LCSW
	1818 Logan Ave, Belvidere, IL 61008-6412
	(815) 575-9887
	(815) 534-1437

Map and Direction

Healthcare Provider's Profile

Full Name	Shelli Pollard
Gender	Female
Speciality	Social Worker - Clinical
Location	1818 Logan Ave, Belvidere, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053786269
Provider Enumeration Date: 12/14/2015
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 2567724479
Enrollment ID: I20180313000029

Medical Identifiers

Medical identifiers for Shelli Pollard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053786269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149018509 (Illinois)	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. Shelli Pollard allows following entities to bill medicare on her behalf.

Entity Name	Revive Therapy And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780446476 PECOS PAC ID: 7618312711 Enrollment ID: O20240228003395

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. Shelli Pollard 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
Shelli Pollard, LCSW 1818 Logan Ave, Belvidere, IL 61008-6412 Ph: (815) 575-9887	Shelli Pollard, LCSW 1818 Logan Ave, Belvidere, IL 61008-6412 Ph: (815) 575-9887

Reviews and Comments

Social Worker in Belvidere, IL

Jennifer Zaluckyj, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10027 Rellswood Dr, Belvidere, IL 61008 Phone: 815-670-6990
Nicole Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8787 Beloit Rd, Belvidere, IL 61008 Phone: 815-544-0190
Ms. Patricia Greve Scherf, RN, LCSW, MJ Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6448 Broadview Ave, Belvidere, IL 61008 Phone: 815-519-7284
Joan M Lodge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 Southtowne Dr, Janet Wattles Center, Belvidere, IL 61008 Phone: 815-544-4849 Fax: 815-544-2116
Linda Kyle-rimkus, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9570 Perrett Ln, Belvidere, IL 61008 Phone: 815-262-0146 Fax: 815-544-3392
Jessica Piske, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 803 Stonegate Dr, Belvidere, IL 61008 Phone: 815-262-9304

Shelli Pollard, LCSW - Medicare Clinical Social Worker in Belvidere, IL