Mrs Guadalupe Shober, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Jordan, Utah. Her current practice location is
1108 W South Jordan Pkwy Ste C, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 856-4647.
Mrs Guadalupe Shober is licensed to practice in Utah (license number 6333334-3501) 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 1679664957.
Healthcare Provider's Profile
Full Name | Mrs Guadalupe Shober |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1108 W South Jordan Pkwy Ste C, South Jordan, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679664957
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 04/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941458293
- Enrollment ID: I20120912000327
Medical Identifiers
Medical identifiers for Mrs Guadalupe Shober such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679664957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 63333343506 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 6333334-3501 (Utah) | 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. Mrs Guadalupe Shober allows following entities to bill medicare on her behalf.
Entity Name | Multicultural Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215322912 PECOS PAC ID: 2163784125 Enrollment ID: O20180403001033 |
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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. Mrs Guadalupe Shober 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 |
Mrs Guadalupe Shober, LCSW 10094 S Wasatch Blvd, Sandy, UT 84092-4572 Ph: (801) 634-5334 | Mrs Guadalupe Shober, LCSW 1108 W South Jordan Pkwy Ste C, South Jordan, UT 84095-5505 Ph: (801) 856-4647 |
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