Shane Phillips, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. His current practice location is
6112 Saint Giles St, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 893-4465.
Shane Phillips is licensed to practice in North Carolina (license number C013024) 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 1588166243.
Healthcare Provider's Profile
| Full Name | Shane Phillips |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6112 Saint Giles St, Raleigh, North Carolina |
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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:
- Shane Phillips attended and graduated from in
NPI Data:
- NPI Number: 1588166243
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shane Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588166243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23890 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | PO11867 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013024 (North Carolina) | Primary |
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. Shane Phillips 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 |
|---|
Shane Phillips, LCSW
6112 Saint Giles St,
Raleigh, NC 27612-7043
Ph: () - | Shane Phillips, LCSW
6112 Saint Giles St,
Raleigh, NC 27612-7043
Ph: (919) 893-4465 |
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