Angela Marie Carlson, LICSW in Crookston, MN - Medicare Social Worker Provider

Angela Marie Carlson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Crookston, Minnesota. Her current practice location is 603 Bruce St, Crookston, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 281-3940.

Angela Marie Carlson is licensed to practice in Minnesota (license number 21884) 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 1134574726.

Contact Information

	Angela Marie Carlson, LICSW
	603 Bruce St, Crookston, MN 56716-2914
	(218) 281-3940
	(218) 281-6261

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Marie Carlson
Gender	Female
Speciality	Social Worker - Clinical
Location	603 Bruce St, Crookston, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134574726
Provider Enumeration Date: 05/02/2016
Last Update Date: 05/02/2016

Medicare PECOS Information:

PECOS PAC ID: 4284987934
Enrollment ID: I20181025001720

Medical Identifiers

Medical identifiers for Angela Marie Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134574726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21884 (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. Angela Marie Carlson allows following entities to bill medicare on her behalf.

Entity Name	Alluma Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508835133 PECOS PAC ID: 6709787609 Enrollment ID: O20040302000004

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 Marie Carlson 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
Angela Marie Carlson, LICSW Po Box 603, Crookston, MN 56716-0603 Ph: (218) 281-3940	Angela Marie Carlson, LICSW 603 Bruce St, Crookston, MN 56716-2914 Ph: (218) 281-3940

Reviews and Comments

Social Worker in Crookston, MN

Denise Elaine Hammer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261
Rachel Lynn Winter, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-280-3933
Shauna R Reitmeier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940
Stephanie Kaitlyn Philyaw, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940
Casandra Kay Anderson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940
Ms. Tricia Jeanne Hellerud, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 Fax: 218-281-6261

Angela Marie Carlson, LICSW - Medicare Clinical Social Worker in Crookston, MN