Carol Elissa Owen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fairlee, Vermont. Her current practice location is
28 Lake Morey Rd Apt 2, Fairlee, Vermont. You can reach out to her office (for appointments etc.) via phone at
(207) 779-7635.
Carol Elissa Owen is licensed to practice in Vermont (license number 089.0135072) 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 1124118302.
Healthcare Provider's Profile
Full Name | Carol Elissa Owen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 28 Lake Morey Rd Apt 2, Fairlee, Vermont |
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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: 1124118302
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628969912
- Enrollment ID: I20190218002484
Medical Identifiers
Medical identifiers for Carol Elissa Owen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124118302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 089.0135072 (Vermont) | Primary |
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. Carol Elissa Owen 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 |
Carol Elissa Owen, LICSW Po Box 15, Thetford, VT 05074-0015 Ph: (207) 779-7635 | Carol Elissa Owen, LICSW 28 Lake Morey Rd Apt 2, Fairlee, VT 05045-9824 Ph: (207) 779-7635 |
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