Timothy J Shininger, LCSW LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Port Washington, Wisconsin. His current practice location is
1317 W Grand Ave, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 284-5789.
Timothy J Shininger is licensed to practice in Wisconsin (license number 406-124) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346294816.
Healthcare Provider's Profile
Full Name | Timothy J Shininger |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 1317 W Grand Ave, Port Washington, Wisconsin |
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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: 1346294816
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6406881333
- Enrollment ID: I20240109003615
Medical Identifiers
Medical identifiers for Timothy J Shininger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346294816 | NPI | - | NPPES |
39730900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 4271-123 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 406-124 (Wisconsin) | 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. Timothy J Shininger allows following entities to bill medicare on his behalf.
Entity Name | Comprehensive Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881600807 PECOS PAC ID: 9234164153 Enrollment ID: O20050929000491 |
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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. Timothy J Shininger 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 |
Timothy J Shininger, LCSW LMFT 1317 W Grand Ave, Port Washington, WI 53074-2075 Ph: (262) 284-5789 | Timothy J Shininger, LCSW LMFT 1317 W Grand Ave, Port Washington, WI 53074-2075 Ph: (262) 284-5789 |
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