Kimberly Lynn Shelden, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coeur D Alene, Idaho. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifehouse Healthcare Pllc and her current practice location is
2205 Ironwood Pl Ste B, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 769-4222.
Kimberly Lynn Shelden is licensed to practice in Idaho (license number LCSW-39199) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083143382.
Healthcare Provider's Profile
| Full Name | Kimberly Lynn Shelden |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 2205 Ironwood Pl Ste B, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Lynn Shelden graduated from medical school in 2017
NPI Data:
- NPI Number: 1083143382
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 09/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638503733
- Enrollment ID: I20191226000465
Medical Identifiers
Medical identifiers for Kimberly Lynn Shelden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083143382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LMSW-36782 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-39199 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lifehouse Healthcare Pllc | 2062872625 | 7 |
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. Kimberly Lynn Shelden allows following entities to bill medicare on her behalf.
| Entity Name | Steps To Healing Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346949518
PECOS PAC ID: 8325406093
Enrollment ID: O20230628001328 |
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| Entity Name | Lifehouse Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467142315
PECOS PAC ID: 2062872625
Enrollment ID: O20230714002054 |
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| Entity Name | Transformation Mental Health Therapy Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033996236
PECOS PAC ID: 6800241373
Enrollment ID: O20231018003593 |
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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. Kimberly Lynn Shelden 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 |
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Kimberly Lynn Shelden, LCSW
2025 W Park Pl,
Coeur D Alene, ID 83814-2787
Ph: (208) 769-4222 | Kimberly Lynn Shelden, LCSW
2205 Ironwood Pl Ste B,
Coeur D Alene, ID 83814-2487
Ph: (208) 769-4222 |
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