Ms Sandra Marie Shaffer, LCSW, CSAC, ICS is a medicare enrolled "Social Worker - Clinical" provider in Oshkosh, Wisconsin. Her current practice location is
3475 Omro Rd Ste 400, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 203-7565.
Ms Sandra Marie Shaffer is licensed to practice in Wisconsin (license number 8484-123) 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 1427228436.
Healthcare Provider's Profile
| Full Name | Ms Sandra Marie Shaffer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3475 Omro Rd Ste 400, Oshkosh, Wisconsin |
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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: 1427228436
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 01/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133539166
- Enrollment ID: I20201103002134
Medical Identifiers
Medical identifiers for Ms Sandra Marie Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427228436 | NPI | - | NPPES |
| 100102138 | Medicaid | WI | |
| 1184230351 | Other | WI | NPI-TYPE 2 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15806-132 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8484-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8484-123 (Wisconsin) | 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. Ms Sandra Marie Shaffer allows following entities to bill medicare on her behalf.
| Entity Name | Shaffer Counseling & Consulting |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184230351
PECOS PAC ID: 8224448253
Enrollment ID: O20201103001980 |
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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. Ms Sandra Marie Shaffer 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 |
|---|
Ms Sandra Marie Shaffer, LCSW, CSAC, ICS
3475 Omro Rd Ste 400,
Oshkosh, WI 54904-7126
Ph: (920) 267-3470 | Ms Sandra Marie Shaffer, LCSW, CSAC, ICS
3475 Omro Rd Ste 400,
Oshkosh, WI 54904-7126
Ph: (920) 203-7565 |
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