Shonta Yanette Crowder, is a medicare enrolled "Social Worker" provider in Bartlesville, Oklahoma. Her current practice location is
3606 Idaho Ave, Bartlesville, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 337-8080.
Shonta Yanette Crowder is licensed to practice in * (Not Available) (license number ) 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 1538457569.
Healthcare Provider's Profile
| Full Name | Shonta Yanette Crowder |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3606 Idaho Ave, Bartlesville, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538457569
- Provider Enumeration Date: 07/12/2011
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375842503
- Enrollment ID: I20200910000288
Medical Identifiers
Medical identifiers for Shonta Yanette Crowder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538457569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5264 (Oklahoma) | Secondary |
| 104100000X | Social Worker | (* (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. Shonta Yanette Crowder allows following entities to bill medicare on her behalf.
| Entity Name | Oklahoma Mental Health Council |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275574907
PECOS PAC ID: 3173514387
Enrollment ID: O20040518001034 |
|---|
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. Shonta Yanette Crowder 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 |
|---|
Shonta Yanette Crowder,
Po Box 3492,
Bartlesville, OK 74006-3492
Ph: (918) 766-6998 | Shonta Yanette Crowder,
3606 Idaho Ave,
Bartlesville, OK 74006-2420
Ph: (918) 337-8080 |
Reviews and Comments