Mr Shane Michael Anderson, LICDC-CS is a
Case Manager/care Coordinator based in Waverly, Ohio. Mr Shane Michael Anderson is licensed to practice in Ohio (license number ) and his current practice location is
13800 Us Highway 23, Waverly, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 947-8777.
NPI number for Mr Shane Michael Anderson is 1750513040 and his current mailing address is Po Box 799, Piketon, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750513040.
Healthcare Provider's Profile
| Full Name | Mr Shane Michael Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
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| Location | 13800 Us Highway 23, Waverly, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750513040
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 10/31/2023
Medical Identifiers
Medical identifiers for Mr Shane Michael Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750513040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 081184 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 81184-CS (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Primary |
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. Mr Shane Michael Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shane Michael Anderson, LICDC-CS
Po Box 799,
Piketon, OH 45661-0799
Ph: (740) 289-2374 | Mr Shane Michael Anderson, LICDC-CS
13800 Us Highway 23,
Waverly, OH 45690-9402
Ph: (740) 947-8777 |
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