Carleen Theisen, in Waite Park, MN - Medicare Social Worker Provider

Carleen Theisen, is a medicare enrolled "Social Worker - Clinical" provider in Waite Park, Minnesota. Her current practice location is 411 3rd St N, Waite Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 230-2013.

Carleen Theisen is licensed to practice in Minnesota (license number 29939) 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 1881461143.

Contact Information

	Carleen Theisen,
	411 3rd St N, Waite Park, MN 56387-1177
	(320) 230-2013
	(320) 251-4175

Map and Direction

Healthcare Provider's Profile

Full Name	Carleen Theisen
Gender	Female
Speciality	Social Worker - Clinical
Location	411 3rd St N, Waite Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881461143
Provider Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7315390879
Enrollment ID: I20240131003293

Medical Identifiers

Medical identifiers for Carleen Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881461143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29939 (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. Carleen Theisen allows following entities to bill medicare on her behalf.

Entity Name	Central Minnesota Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831177195 PECOS PAC ID: 4486555877 Enrollment ID: O20040119000248

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. Carleen Theisen 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
Carleen Theisen, 254 12th Ave N, Waite Park, MN 56387-1035 Ph: (320) 250-0240	Carleen Theisen, 411 3rd St N, Waite Park, MN 56387-1177 Ph: (320) 230-2013

Reviews and Comments

Social Worker in Waite Park, MN

Ann Battle, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 423 Great Oak Dr, Waite Park, MN 56387 Phone: 320-281-5305 Fax: 320-281-5306
Ms. Dawn Marie Kuhl, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 818 2nd St S, Suite 180, Waite Park, MN 56387 Phone: 320-257-1800
Ashley Lynn Anderson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 3rd St N Ste 4, Waite Park, MN 56387 Phone: 320-253-4120 Fax: 320-253-4179
Jean M Bjerke, MA, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St S, Suite 303, Waite Park, MN 56387 Phone: 320-253-4080 Fax: 320-253-4088
Amanda Joy Schultz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 2nd Ave S, Waite Park, MN 56387 Phone: 320-252-2976

Carleen Theisen, - Medicare Clinical Social Worker in Waite Park, MN