Carmen Shelbrack, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
470 E 3rd St Ste C, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 620-5712.
Carmen Shelbrack is licensed to practice in California (license number 107671) 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 1063066348.
Healthcare Provider's Profile
Full Name | Carmen Shelbrack |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 470 E 3rd St Ste C, Los Angeles, 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: 1063066348
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507227550
- Enrollment ID: I20230807003126
Medical Identifiers
Medical identifiers for Carmen Shelbrack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063066348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 90865 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 107671 (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. Carmen Shelbrack allows following entities to bill medicare on her behalf.
Entity Name | Sal Psychiatry Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962028936 PECOS PAC ID: 9335565506 Enrollment ID: O20200818003587 |
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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. Carmen Shelbrack 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 |
Carmen Shelbrack, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: (213) 620-5712 | Carmen Shelbrack, 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 Ph: (213) 620-5712 |
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