Caitlin Rose Tharaldson, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Clara, Utah. Her current practice location is
2711 Santa Clara Drive, Santa Clara, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 674-9310.
Caitlin Rose Tharaldson is licensed to practice in Minnesota (license number 22855) 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 1275988305.
Healthcare Provider's Profile
Full Name | Caitlin Rose Tharaldson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2711 Santa Clara Drive, Santa Clara, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275988305
- Provider Enumeration Date: 04/26/2016
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597103366
- Enrollment ID: I20240329002359
Medical Identifiers
Medical identifiers for Caitlin Rose Tharaldson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275988305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 22855 (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. Caitlin Rose Tharaldson allows following entities to bill medicare on her behalf.
Entity Name | Stacia Hanson Ma Lp Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871867549 PECOS PAC ID: 2769828706 Enrollment ID: O20240312003412 |
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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. Caitlin Rose Tharaldson 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 |
Caitlin Rose Tharaldson, MSW, LCSW 7101 York Ave S Ste 317, Edina, MN 55435-4469 Ph: () - | Caitlin Rose Tharaldson, MSW, LCSW 2711 Santa Clara Drive, Santa Clara, UT 84765 Ph: (435) 674-9310 |
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