Angela Lee Deadrick, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Tracy, Minnesota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Western Mental Health Center, Inc. and her current practice location is
249 5th St E, Tracy, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 629-3520.
Angela Lee Deadrick is licensed to practice in Minnesota (license number 15573) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275849838.
Healthcare Provider's Profile
| Full Name | Angela Lee Deadrick |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 249 5th St E, Tracy, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela Lee Deadrick graduated from medical school in 2010
NPI Data:
- NPI Number: 1275849838
- Provider Enumeration Date: 08/20/2010
- Last Update Date: 07/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 0042456238
- Enrollment ID: I20130412000395
Medical Identifiers
Medical identifiers for Angela Lee Deadrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275849838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | AP10-970 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15573 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Western Mental Health Center, Inc. | 7315856119 | 18 |
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. Angela Lee Deadrick allows following entities to bill medicare on her behalf.
| Entity Name | Western Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982613311
PECOS PAC ID: 7315856119
Enrollment ID: O20040226000053 |
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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. Angela Lee Deadrick 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 |
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Angela Lee Deadrick, LICSW
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-6585 | Angela Lee Deadrick, LICSW
249 5th St E,
Tracy, MN 56175-1536
Ph: (507) 629-3520 |
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