Mitchell Shane Hill, LCSW-S is a medicare enrolled "Social Worker - Clinical" provider in Colleyville, Texas. His current practice location is
7167 Colleyville Blvd, Suite 101, Colleyville, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 232-6507.
Mitchell Shane Hill is licensed to practice in Texas (license number 32786) 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 1790123610.
Healthcare Provider's Profile
| Full Name | Mitchell Shane Hill |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 7167 Colleyville Blvd, Colleyville, Texas |
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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: 1790123610
- Provider Enumeration Date: 06/13/2013
- Last Update Date: 06/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 1355576406
- Enrollment ID: I20131028001370
Medical Identifiers
Medical identifiers for Mitchell Shane Hill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790123610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 32786 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 32786 (Texas) | Secondary |
| 101YS0200X | Counselor - School | 32786 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 32786 (Texas) | Primary |
| 1041S0200X | Social Worker - School | 32786 (Texas) | Secondary |
| 106H00000X | Marriage & Family Therapist | 32786 (Texas) | Secondary |
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. Mitchell Shane Hill allows following entities to bill medicare on his behalf.
| Entity Name | Assurasource Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194746016
PECOS PAC ID: 8123125580
Enrollment ID: O20070518000258 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210326001541 |
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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. Mitchell Shane Hill 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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Mitchell Shane Hill, LCSW-S
7167 Colleyville Blvd, Suite 101,
Colleyville, TX 76034-8001
Ph: (214) 232-6507 | Mitchell Shane Hill, LCSW-S
7167 Colleyville Blvd, Suite 101,
Colleyville, TX 76034-8001
Ph: (214) 232-6507 |
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