Shantika Green, LCSW in Gresham, OR - Medicare Counselor Provider

Shantika Green, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Gresham, Oregon. Her current practice location is 1700 Nw Civic Dr Ste 310, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 666-8835.

Shantika Green is licensed to practice in Oregon (license number 8611) 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 1326656851.

Contact Information

	Shantika Green, LCSW
	1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774
	(503) 666-8835
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shantika Green
Gender	Female
Speciality	Counselor - Mental Health
Location	1700 Nw Civic Dr Ste 310, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326656851
Provider Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 9335565340
Enrollment ID: I20200825001624

Medical Identifiers

Medical identifiers for Shantika Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326656851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	8611 (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. Shantika Green allows following entities to bill medicare on her behalf.

Entity Name	Western Psychological And Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

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. Shantika Green 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
Shantika Green, LCSW 10802 Se 144th Loop, Happy Valley, OR 97086-8322 Ph: (503) 358-6756	Shantika Green, LCSW 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 Ph: (503) 666-8835

Reviews and Comments

Counselor in Gresham, OR

Deanna Rae Shields, CADC-R/CHW/CRM/PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Nw Division St, Gresham, OR 97030 Phone: 503-231-2641 Fax: 503-231-1654
Amy Marie Elness, CADC II/QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Ne 2nd St, Gresham, OR 97030 Phone: 971-274-3757 Fax: 503-912-5740
Joey Owen Patton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Powell Blvd, Gresham, OR 97030 Phone: 360-977-0450
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 503-890-8773
Laurie Anne Ricken, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455
Mr. David J. Lowe, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030 Phone: 503-492-1200
Drake Miyake, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600

Shantika Green, LCSW - Medicare Counselor in Gresham, OR