Shanti Wellness Pllc - Medicare Mental Health Clinic in Fargo, ND

Shanti Wellness Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fargo, North Dakota. The current practice location for Shanti Wellness Pllc is 3481 University Dr S Ste 104, Fargo, North Dakota. For appointments, you can reach them via phone at (701) 353-9238. The mailing address for Shanti Wellness Pllc is 3481 University Dr S Ste 104, Fargo, North Dakota and phone number is (701) 353-9238.

Shanti Wellness Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033817226. 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 (701) 353-9238.

Contact Information

Shanti Wellness Pllc
3481 University Dr S Ste 104
Fargo
ND 58104-6235
(701) 353-9238
(701) 205-1221

Mental Health Clinic Profile

Full NameShanti Wellness Pllc
SpecialitySocial Worker
Location3481 University Dr S Ste 104, Fargo, North Dakota
Authorized Official Name and PositionMelissa A Shigematsu (OWNER/THERAPIST)
Authorized Official Contact7013186551
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanti Wellness Pllc
3481 University Dr S Ste 104
Fargo
ND 58104-6235

Ph: (701) 353-9238
Shanti Wellness Pllc
3481 University Dr S Ste 104
Fargo
ND 58104-6235

Ph: (701) 353-9238

NPI Details:

NPI Number1033817226
Provider Enumeration Date02/17/2023
Last Update Date02/17/2023
Certification Date02/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3678933488
Medicare Enrollment IDO20230712001064

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Medical Identifiers

Medical identifiers for Shanti Wellness Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033817226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Shanti Wellness Pllc acts as a billing entity for following providers:
Provider NameMelissa A Shigematsu
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275083685
PECOS PAC ID: 4688938772
Enrollment ID: I20180425001077

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