Allisa Prokopanko, MSW, LICSW in Eden Prairie, MN - Medicare Social Worker Provider

Allisa Prokopanko, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Eden Prairie, Minnesota. Her current practice location is 6458 City West Pkwy, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 767-6791.

Allisa Prokopanko is licensed to practice in Minnesota (license number 20444) 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 1437560836.

Contact Information

	Allisa Prokopanko, MSW, LICSW
	6458 City West Pkwy, Eden Prairie, MN 55344-3245
	(952) 767-6791
	(612) 728-5301

Map and Direction

Healthcare Provider's Profile

Full Name	Allisa Prokopanko
Gender	Female
Speciality	Social Worker - Clinical
Location	6458 City West Pkwy, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437560836
Provider Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 2163825480
Enrollment ID: I20210724000091

Medical Identifiers

Medical identifiers for Allisa Prokopanko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437560836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20444 (Minnesota)	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. Allisa Prokopanko allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Allisa Prokopanko 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
Allisa Prokopanko, MSW, LICSW 5253 Beard Ave S, Minneapolis, MN 55410-2117 Ph: (952) 607-7632	Allisa Prokopanko, MSW, LICSW 6458 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: (952) 767-6791

Reviews and Comments

Social Worker in Eden Prairie, MN

Susan Kay Cromwell, MSW LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9531 W 78th St Ste 145, Eden Prairie, MN 55344 Phone: 651-268-0751 Fax: 952-943-9750
Safiya Ali Sheikh-mohamed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7550 Market Place Dr Ste 3, Eden Prairie, MN 55344 Phone: 651-299-0044
Reashondra Walker, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Equitable Dr, Eden Prairie, MN 55344 Phone: 932-395-6959
Elizabeth Samuel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344 Phone: 763-318-2788
Susan M Saunders, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8455 Flying Cloud Dr, Park Nicollet Clinic - Prairie Center Ste 200, Eden Prairie, MN 55344 Phone: 952-993-7400 Fax: 952-993-7430
Mr. Joshua Tucker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522
Lily M Pieper, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-5900

Allisa Prokopanko, MSW, LICSW - Medicare Clinical Social Worker in Eden Prairie, MN