Shirley Il Hartman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Moorpark, California. Her current practice location is
4279 Tierra Rejada Rd, Moorpark, California. You can reach out to her office (for appointments etc.) via phone at
(805) 222-2326.
Shirley Il Hartman is licensed to practice in California (license number 76962) 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 1821468851.
Healthcare Provider's Profile
Full Name | Shirley Il Hartman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4279 Tierra Rejada Rd, Moorpark, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821468851
- Provider Enumeration Date: 10/02/2015
- Last Update Date: 02/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294095477
- Enrollment ID: I20180208000158
Medical Identifiers
Medical identifiers for Shirley Il Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821468851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 76962 (California) | 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 Il Hartman allows following entities to bill medicare on her behalf.
Entity Name | Clinicas Del Camino Real Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679631907 PECOS PAC ID: 3173434396 Enrollment ID: O20040205001238 |
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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 Il Hartman 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 Il Hartman, LCSW 1040 Flynn Rd, Camarillo, CA 93012-5092 Ph: (805) 673-3930 | Shirley Il Hartman, LCSW 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 Ph: (805) 222-2326 |
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