Michael Shock, LICSW - Medicare Clinical Social Worker in Devils Lake, ND

Michael Shock, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Devils Lake, North Dakota. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lake Region Human Service Center and his current practice location is 200 Highway 2 W, Devils Lake, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 665-2200.

Michael Shock is licensed to practice in North Dakota (license number 4694) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659404556.

Contact Information

Michael Shock, LICSW
200 Highway 2 W,
Devils Lake, ND 58301-3532
(701) 665-2200
(701) 665-2300



Healthcare Provider's Profile

Full NameMichael Shock
GenderMale
SpecialityClinical Social Worker
Experience12 Years
Location200 Highway 2 W, Devils Lake, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Shock graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1659404556
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 10/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0840414942
  • Enrollment ID: I20140611000847

Medical Identifiers

Medical identifiers for Michael Shock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659404556NPI-NPPES
1456526MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 4694 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Region Human Service Center84269414368

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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. Michael Shock allows following entities to bill medicare on his behalf.
Entity NameLake Region Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411930
PECOS PAC ID: 8426941436
Enrollment ID: O20040204000457

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Entity NameLifewise Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871088674
PECOS PAC ID: 2264784008
Enrollment ID: O20190625002236

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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. Michael Shock 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 AddressPractice Location Address
Michael Shock, LICSW
Po Box 650,
Devils Lake, ND 58301-0650

Ph: (701) 665-2200
Michael Shock, LICSW
200 Highway 2 W,
Devils Lake, ND 58301-3532

Ph: (701) 665-2200

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› Verified 4 days ago


Social Worker in Devils Lake, ND

Mrs. Brenna S Berge, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 210 Highway 2 W Ste 10, Devils Lake, ND 58301
Phone: 701-662-1046    
Janet Dobler, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 400 12th Ave Ne, Suite D, Devils Lake, ND 58301
Phone: 701-351-1934    Fax: 701-665-2668
Mr. James Michael Cole, MSW, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 200 Highway 2 W, Devils Lake, ND 58301
Phone: 701-665-2200    
Deborah L Hanson, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 501 3rd St Ne Ste 1, Devils Lake, ND 58301
Phone: 701-662-1911    Fax: 701-662-4770
Lisa Shuster,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 715 13th Ave Ne, Apt 307, Devils Lake, ND 58301
Phone: 701-330-9998    
Mr. Danny Whitehead, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 211 4th St Ne, Ste 4, Devils Lake, ND 58301
Phone: 701-662-8255    Fax: 701-662-1739
Maria Wolf Burdick, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 210 Highway 2 W Ste 10, Devils Lake, ND 58301
Phone: 701-662-1046    

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