David Shrank I, LCSW-C, LICSW in Hyattsville, MD - Medicare Social Worker Provider

David Shrank I, LCSW-C, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Hyattsville, Maryland. His current practice location is 6475 New Hampshire Ave # C700, Hyattsville, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 565-2558.

David Shrank I is licensed to practice in Maryland (license number 19015) 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 1174078448.

Contact Information

	David Shrank I, LCSW-C, LICSW
	6475 New Hampshire Ave # C700, Hyattsville, MD 20783-3269
	(240) 565-2558
	Not Available

Healthcare Provider's Profile

Full Name	David Shrank I
Gender	Male
Speciality	Social Worker - Clinical
Location	6475 New Hampshire Ave # C700, Hyattsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174078448
Provider Enumeration Date: 08/16/2016
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6507293644
Enrollment ID: I20200302000684

Medical Identifiers

Medical identifiers for David Shrank I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174078448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC50080481 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	19015 (Maryland)	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. David Shrank I allows following entities to bill medicare on his behalf.

Entity Name	Empowerment Behavioral Therapeutic Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841745841 PECOS PAC ID: 0446687586 Enrollment ID: O20200302000253

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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. David Shrank I 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
David Shrank I, LCSW-C, LICSW 1217 Arcola Ave, Silver Spring, MD 20902-3407 Ph: (240) 565-2558	David Shrank I, LCSW-C, LICSW 6475 New Hampshire Ave # C700, Hyattsville, MD 20783-3269 Ph: (240) 565-2558

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Miss Miriam Elizabeth Panameno Granadeno, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7406 24th Ave, Hyattsville, MD 20783 Phone: 301-832-0441
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David Shrank I, LCSW-C, LICSW - Medicare Clinical Social Worker in Hyattsville, MD

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Neogenix awarded $488,958.50 grant under QTDP program

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Social Worker in Hyattsville, MD