Justin Shaffer, LCSW, LAC, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. His current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 495-8020.
Justin Shaffer is licensed to practice in Colorado (license number CSW.09923153) 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 1548696719.
Healthcare Provider's Profile
| Full Name | Justin Shaffer |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548696719
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981990108
- Enrollment ID: I20160914000246
Medical Identifiers
Medical identifiers for Justin Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548696719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000347 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923153 (Colorado) | 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. Justin Shaffer allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
|---|
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. Justin Shaffer 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 |
|---|
Justin Shaffer, LCSW, LAC, MSW
4856 Innovation Dr Ste B,
Fort Collins, CO 80525-5540
Ph: (970) 494-4200 | Justin Shaffer, LCSW, LAC, MSW
1024 S Lemay Ave,
Fort Collins, CO 80524-3929
Ph: (970) 495-8020 |
Reviews and Comments