Reginald Harrison Shockley Sr, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Salisbury, Maryland. He graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Balanced Life Counseling Services Llc and his current practice location is
106 Milford St Ste 201, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 334-6961.
Reginald Harrison Shockley Sr is licensed to practice in Maryland (license number 24065) 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 1619046919.
Healthcare Provider's Profile
| Full Name | Reginald Harrison Shockley Sr |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 106 Milford St Ste 201, Salisbury, Maryland |
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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:
- Reginald Harrison Shockley Sr graduated from medical school in 2007
NPI Data:
- NPI Number: 1619046919
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082962766
- Enrollment ID: I20180813002779
Medical Identifiers
Medical identifiers for Reginald Harrison Shockley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619046919 | NPI | - | NPPES |
| 517251 | Other | | UHC MAMSI GROUP # |
| LM49EA | Other | MD | CAREFIRST BCBS GROUP |
| R968 | Other | | CAREFIRST FEDERAL GROUP |
| 609550001 | Medicaid | MD | |
| 259147000 | Other | MD | MAGELLAN GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 24065 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Balanced Life Counseling Services Llc | 4688937717 | 5 |
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. Reginald Harrison Shockley Sr allows following entities to bill medicare on his behalf.
| Entity Name | Eastern Shore Psychological Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881781508
PECOS PAC ID: 5294729950
Enrollment ID: O20040414000564 |
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| Entity Name | Balanced Life Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770084535
PECOS PAC ID: 4688937717
Enrollment ID: O20180424001029 |
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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. Reginald Harrison Shockley Sr 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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Reginald Harrison Shockley Sr, LCSW-C
34462 Fox Hound Ct,
Parsonsburg, MD 21849-2676
Ph: (443) 614-5360 | Reginald Harrison Shockley Sr, LCSW-C
106 Milford St Ste 201,
Salisbury, MD 21804
Ph: (410) 334-6961 |
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