Shannon G O'brien, MSW, LCSW, CSAC,CTS is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. She graduated from healthcare school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Professional Services Group Inc. and her current practice location is
2821 N. 4th Street, Suite 139, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 264-4217.
Shannon G O'brien is licensed to practice in Wisconsin (license number 7197-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366529182.
Healthcare Provider's Profile
| Full Name | Shannon G O'brien |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 2821 N. 4th Street, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Shannon G O'brien graduated from medical school in 1998
NPI Data:
- NPI Number: 1366529182
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 9032010657
- Enrollment ID: I20040116000553
Medical Identifiers
Medical identifiers for Shannon G O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366529182 | NPI | - | NPPES |
| 39397100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1971-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7197-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Professional Services Group Inc. | 8224296454 | 19 |
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. Shannon G O'brien allows following entities to bill medicare on her behalf.
| Entity Name | Professional Services Group Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742 |
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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. Shannon G O'brien 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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Shannon G O'brien, MSW, LCSW, CSAC,CTS
2821 N 4th St, Suite 139,
Milwaukee, WI 53212-2362
Ph: (414) 264-4217 | Shannon G O'brien, MSW, LCSW, CSAC,CTS
2821 N. 4th Street, Suite 139,
Milwaukee, WI 53212
Ph: (414) 264-4217 |
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