Andrea Lee Dalzell, MSW, LICSW in Brainerd, MN - Medicare Social Worker Provider

Andrea Lee Dalzell, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brainerd, Minnesota. Her current practice location is 823 Maple St, Brainerd, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 454-7205.

Andrea Lee Dalzell is licensed to practice in Minnesota (license number 24265) 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 1578076154.

Contact Information

	Andrea Lee Dalzell, MSW, LICSW
	823 Maple St, Brainerd, MN 56401-3770
	(218) 454-7205
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Lee Dalzell
Gender	Female
Speciality	Social Worker - Clinical
Location	823 Maple St, Brainerd, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578076154
Provider Enumeration Date: 11/06/2017
Last Update Date: 11/06/2017

Medicare PECOS Information:

PECOS PAC ID: 5395003222
Enrollment ID: I20171221002021

Medical Identifiers

Medical identifiers for Andrea Lee Dalzell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578076154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	24265 (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. Andrea Lee Dalzell allows following entities to bill medicare on her behalf.

Entity Name	Northern Pines Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013904051 PECOS PAC ID: 8628979697 Enrollment ID: O20040114000463

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. Andrea Lee Dalzell 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
Andrea Lee Dalzell, MSW, LICSW 916 S 7th St, Brainerd, MN 56401-4035 Ph: (218) 851-6906	Andrea Lee Dalzell, MSW, LICSW 823 Maple St, Brainerd, MN 56401-3770 Ph: (218) 454-7205

Reviews and Comments

Social Worker in Brainerd, MN

Donn C Beaubien, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368
Miss Barbara Kay Parks, MED, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-828-7379 Fax: 218-828-7390
Mrs. Bethany Rose Nordby, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-4065 Fax: 218-454-1024
Amanda Mary Kampa, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Ashley Marie Heinz, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Mr. Shawn S Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Ms. Lara Royer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 716 E St Ne, Brainerd, MN 56401 Phone: 218-828-7379 Fax: 218-828-7390

Andrea Lee Dalzell, MSW, LICSW - Medicare Clinical Social Worker in Brainerd, MN