Shantenesia Leshana Reeves, is a medicare enrolled "Social Worker - Clinical" provider in Travis Afb, California. Her current practice location is
101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at
(707) 423-5168.
Shantenesia Leshana Reeves is licensed to practice in California (license number 76792) 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 1194912543.
Healthcare Provider's Profile
Full Name | Shantenesia Leshana Reeves |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 101 Bodin Cir, Travis Afb, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194912543
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375942527
- Enrollment ID: I20210520002194
Medical Identifiers
Medical identifiers for Shantenesia Leshana Reeves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194912543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 76792 (California) | 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. Shantenesia Leshana Reeves 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 |
Shantenesia Leshana Reeves, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5168 | Shantenesia Leshana Reeves, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5168 |
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