Mr Shane Speaker, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Coldwater, Michigan. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Branch County Community Mental Health Authority and his current practice location is
200 Vista Dr, Coldwater, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 278-2129.
Mr Shane Speaker is licensed to practice in Michigan (license number 6801094324) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164995684.
Healthcare Provider's Profile
| Full Name | Mr Shane Speaker |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 200 Vista Dr, Coldwater, Michigan |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Shane Speaker graduated from medical school in 2012
NPI Data:
- NPI Number: 1164995684
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 01/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 1153668413
- Enrollment ID: I20190124000144
Medical Identifiers
Medical identifiers for Mr Shane Speaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164995684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801094324 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Branch County Community Mental Health Authority | 4789612714 | 9 |
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. Mr Shane Speaker allows following entities to bill medicare on his behalf.
| Entity Name | Branch County Community Mental Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861430381
PECOS PAC ID: 4789612714
Enrollment ID: O20050801000777 |
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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. Mr Shane Speaker 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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Mr Shane Speaker, LMSW
200 Vista Dr,
Coldwater, MI 49036-1776
Ph: (517) 278-2129 | Mr Shane Speaker, LMSW
200 Vista Dr,
Coldwater, MI 49036-1776
Ph: (517) 278-2129 |
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