Miss Katherine Melissa Shay, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brandon, Florida. Her current practice location is
109 N Oakwood Ave Ste 105, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 819-8704.
Miss Katherine Melissa Shay is licensed to practice in Florida (license number SW15081) 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 1376890061.
Healthcare Provider's Profile
| Full Name | Miss Katherine Melissa Shay |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 109 N Oakwood Ave Ste 105, Brandon, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376890061
- Provider Enumeration Date: 08/13/2012
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830554500
- Enrollment ID: I20230502001933
Medical Identifiers
Medical identifiers for Miss Katherine Melissa Shay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376890061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW15081 (Florida) | 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. Miss Katherine Melissa Shay allows following entities to bill medicare on her behalf.
| Entity Name | Tranquility Wellness Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003522723
PECOS PAC ID: 1759746423
Enrollment ID: O20230502001860 |
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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. Miss Katherine Melissa Shay 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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Miss Katherine Melissa Shay, MSW, LCSW
109 N Oakwood Ave Ste 105,
Brandon, FL 33510-4629
Ph: (813) 819-8704 | Miss Katherine Melissa Shay, MSW, LCSW
109 N Oakwood Ave Ste 105,
Brandon, FL 33510-4629
Ph: (813) 819-8704 |
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