Allisen Deville, LICSW in Saint Paul, MN - Medicare Social Worker Provider

Allisen Deville, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. Her current practice location is 800 Minnehaha Ave E # 400, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 808-1989.

Allisen Deville is licensed to practice in Minnesota (license number 28139) 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 1093386690.

Contact Information

	Allisen Deville, LICSW
	800 Minnehaha Ave E # 400, Saint Paul, MN 55106-4437
	(651) 808-1989
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Allisen Deville
Gender	Female
Speciality	Social Worker - Clinical
Location	800 Minnehaha Ave E # 400, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093386690
Provider Enumeration Date: 07/05/2021
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8820483977
Enrollment ID: I20220328001214

Medical Identifiers

Medical identifiers for Allisen Deville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093386690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28139 (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. Allisen Deville allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Allisen Deville 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
Allisen Deville, LICSW 175 County Road B2 E Apt 306, Little Canada, MN 55117-1507 Ph: (651) 808-1989	Allisen Deville, LICSW 800 Minnehaha Ave E # 400, Saint Paul, MN 55106-4437 Ph: (651) 808-1989

Reviews and Comments

Social Worker in Saint Paul, MN

Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294

Allisen Deville, LICSW - Medicare Clinical Social Worker in Saint Paul, MN