Mrs Shannon Jex Sieck, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Lincoln, Nebraska. Her current practice location is
2300 S 13th St, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 474-3322.
Mrs Shannon Jex Sieck is licensed to practice in Nebraska (license number 1494) 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 1104114248.
Healthcare Provider's Profile
Full Name | Mrs Shannon Jex Sieck |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2300 S 13th St, Lincoln, Nebraska |
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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: 1104114248
- Provider Enumeration Date: 07/11/2011
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224486055
- Enrollment ID: I20231204003363
Medical Identifiers
Medical identifiers for Mrs Shannon Jex Sieck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104114248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1229 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1494 (Nebraska) | Primary |
101YM0800X | Counselor - Mental Health | 4223 (Nebraska) | 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. Mrs Shannon Jex Sieck allows following entities to bill medicare on her behalf.
Entity Name | Omni Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093919508 PECOS PAC ID: 6800896937 Enrollment ID: O20141114000766 |
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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 Shannon Jex Sieck 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 Shannon Jex Sieck, LICSW 5115 F St, Omaha, NE 68117-2807 Ph: (402) 397-9866 | Mrs Shannon Jex Sieck, LICSW 2300 S 13th St, Lincoln, NE 68502-3606 Ph: (402) 474-3322 |
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