Shawn Tardif, in Manchester, CT - Medicare Counselor Provider

Shawn Tardif, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Manchester, Connecticut. His current practice location is 444 Center St, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 646-3888.

Shawn Tardif is licensed to practice in * (Not Available) (license number ) 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 1851921340.

Contact Information

	Shawn Tardif,
	444 Center St, Manchester, CT 06040-3926
	(860) 646-3888
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn Tardif
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	444 Center St, Manchester, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851921340
Provider Enumeration Date: 01/23/2020
Last Update Date: 03/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6204273816
Enrollment ID: I20240319001200

Medical Identifiers

Medical identifiers for Shawn Tardif such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851921340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Shawn Tardif allows following entities to bill medicare on his behalf.

Entity Name	Community Health Resources, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155

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. Shawn Tardif 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
Shawn Tardif, 1317 East St Apt 315, New Britain, CT 06053-2582 Ph: (860) 967-8573	Shawn Tardif, 444 Center St, Manchester, CT 06040-3926 Ph: (860) 646-3888

Reviews and Comments

Counselor in Manchester, CT

Sarah Zwarick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132
Ms. Karen Franes Foley-schain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Redwood Rd, Manchester, CT 06040 Phone: 860-508-0332
Krista Nordmark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 587 E Middle Tpke, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132
Sylvester Esangbedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132
Elsa Reyes, Counselor Medicare: Medicare Enrolled Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132
Aliya E Jasensky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888
Lynda Dyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Center St, Manchester, CT 06040 Phone: 860-646-3888

Shawn Tardif, - Medicare Counselor in Manchester, CT