Sandra Shaffer - Medicare Mental Health Clinic in Oshkosh, WI

Sandra Shaffer is a medicare enrolled mental health clinic (Social Worker - Clinical) in Oshkosh, Wisconsin. The current practice location for Sandra Shaffer is 3475 Omro Rd Ste 400, Oshkosh, Wisconsin. For appointments, you can reach them via phone at (920) 203-7565. The mailing address for Sandra Shaffer is 303 Watson St Ste D, Ripon, Wisconsin and phone number is (920) 896-0189.

Sandra Shaffer is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184230351. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 203-7565.

Contact Information

Sandra Shaffer
3475 Omro Rd Ste 400
Oshkosh
WI 54904-7126
(920) 203-7565
Not Available

Mental Health Clinic Profile

Full NameSandra Shaffer
SpecialitySocial Worker
Location3475 Omro Rd Ste 400, Oshkosh, Wisconsin
Authorized Official Name and PositionSandra Marie Shaffer (THERAPIST/OWNER)
Authorized Official Contact9208960189
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sandra Shaffer
303 Watson St Ste D
Ripon
WI 54971-1516

Ph: (920) 896-0189
Sandra Shaffer
3475 Omro Rd Ste 400
Oshkosh
WI 54904-7126

Ph: (920) 203-7565

NPI Details:

NPI Number1184230351
Provider Enumeration Date09/22/2020
Last Update Date11/10/2020
Certification Date11/10/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8224448253
Medicare Enrollment IDO20201103001980

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Medical Identifiers

Medical identifiers for Sandra Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184230351NPI-NPPES
1184230351OtherWINPI-TYPE 2
1427228436OtherWINPI
12349916OtherCAQH
100102138MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (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. Sandra Shaffer acts as a billing entity for following providers:
Provider NameSandra Marie Shaffer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427228436
PECOS PAC ID: 9133539166
Enrollment ID: I20201103002134

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Social Worker in Oshkosh, WI

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Martin Counseling Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 3475 Omro Rd Ste 400, Oshkosh, WI 54904
Phone: 920-896-6381    
Oshkosh Counseling Center Inc
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