Shad M Thomas, LCSW, MSW, CADC III is a medicare enrolled "Social Worker - Clinical" provider in Baker City, Oregon. His current practice location is
2200 4th St, Baker City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 573-7303.
Shad M Thomas is licensed to practice in Oregon (license number L6915) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013287507.
Healthcare Provider's Profile
| Full Name | Shad M Thomas |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2200 4th St, Baker City, Oregon |
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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: 1013287507
- Provider Enumeration Date: 12/30/2011
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 5496991218
- Enrollment ID: I20130424000600
Medical Identifiers
Medical identifiers for Shad M Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013287507 | NPI | - | NPPES |
| 090450 | Medicaid | OR | |
| 500666423 | Other | OR | MCD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16-01-16 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L6915 (Oregon) | 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. Shad M Thomas allows following entities to bill medicare on his behalf.
| Entity Name | New Directions Northwest Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235124462
PECOS PAC ID: 0446572721
Enrollment ID: O20141124001911 |
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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. Shad M Thomas 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 |
|---|
Shad M Thomas, LCSW, MSW, CADC III
Po Box 138,
Burns, OR 97720-0138
Ph: (541) 573-7303 | Shad M Thomas, LCSW, MSW, CADC III
2200 4th St,
Baker City, OR 97814-2615
Ph: (541) 573-7303 |
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