Shirley Dick, LCSW in Goshen, IN - Medicare Social Worker Provider

Shirley Dick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Goshen, Indiana. Her current practice location is 330 Lakeview Dr, Goshen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 533-1234.

Shirley Dick is licensed to practice in Indiana (license number 34001401A) 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 1558706358.

Contact Information

	Shirley Dick, LCSW
	330 Lakeview Dr, Goshen, IN 46528-9365
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley Dick
Gender	Female
Speciality	Social Worker - Clinical
Location	330 Lakeview Dr, Goshen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558706358
Provider Enumeration Date: 05/07/2013
Last Update Date: 05/07/2013

Medicare PECOS Information:

PECOS PAC ID: 7517109606
Enrollment ID: I20130820000913

Medical Identifiers

Medical identifiers for Shirley Dick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558706358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34001401A (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. Shirley Dick allows following entities to bill medicare on her behalf.

Entity Name	Oaklawn Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647

Entity Name	Shirley Claassen Dick Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104299783 PECOS PAC ID: 3870895857 Enrollment ID: O20160107002143

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. Shirley Dick 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
Shirley Dick, LCSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234	Shirley Dick, LCSW 330 Lakeview Dr, Goshen, IN 46528-9365 Ph: (574) 533-1234

Reviews and Comments

Social Worker in Goshen, IN

Mrs. Corie Lynn Kulp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Corie Kulp Counseling Pc, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887
Mr. Philip David Good-elliott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 313 S 3rd St, Goshen, IN 46526 Phone: 574-535-0880 Fax: 574-535-0882
Linda Christophel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-537-2680
Sean Michael Mccrindle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62226 County Road 15, Goshen, IN 46526 Phone: 574-875-5117 Fax: 574-875-5284
Ken R Yoder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 330 Lakeview Dr, Goshen, IN 46528 Phone: 574-533-1234
Emily Welch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 N 3rd St, Goshen, IN 46528 Phone: 574-534-0088 Fax: 574-971-8434
Joel William Kern, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2318 Nature View Ct, Goshen, IN 46526 Phone: 574-538-9602

Shirley Dick, LCSW - Medicare Clinical Social Worker in Goshen, IN