Colleen Dale, LICSW in Minnetonka, MN - Medicare Social Worker Provider

Colleen Dale, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minnetonka, Minnesota. Her current practice location is 5125 County Road 101 Ste 300, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 932-7277.

Colleen Dale is licensed to practice in Minnesota (license number 27409) 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 1427706001.

Contact Information

	Colleen Dale, LICSW
	5125 County Road 101 Ste 300, Minnetonka, MN 55345-4157
	(952) 932-7277
	(952) 932-9827

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen Dale
Gender	Female
Speciality	Social Worker - Clinical
Location	5125 County Road 101 Ste 300, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427706001
Provider Enumeration Date: 03/14/2022
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 7315395266
Enrollment ID: I20231203000133

Medical Identifiers

Medical identifiers for Colleen Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427706001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27409 (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. Colleen Dale allows following entities to bill medicare on her behalf.

Entity Name	Relate Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053486902 PECOS PAC ID: 8224005491 Enrollment ID: O20040916000152

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. Colleen Dale 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
Colleen Dale, LICSW 5125 County Road 101 Ste 300, Minnetonka, MN 55345-4157 Ph: (952) 932-7277	Colleen Dale, LICSW 5125 County Road 101 Ste 300, Minnetonka, MN 55345-4157 Ph: (952) 932-7277

Reviews and Comments

Social Worker in Minnetonka, MN

Ms. Susan B. Garfield, LISCW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11900 Wayzata Blvd, Ste 209, Minnetonka, MN 55305 Phone: 952-746-7894 Fax: 952-746-7895
Angela Bierle Early, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760
Jeana Bisek, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14525 Highway 7 Ste 250, Minnetonka, MN 55345 Phone: 612-709-8372
Bradford B Benson, LISCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3332 Delta Ave, Minnetonka, MN 55305 Phone: 952-945-0057
Catherine Beringer, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-548-8765
Gage O'neal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-206-2040
Madelyn Audrey Larsin, LISCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 County Road 101 Ste 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827

Colleen Dale, LICSW - Medicare Clinical Social Worker in Minnetonka, MN