Corie Stewart Mckibben, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Ely, Minnesota. Her current practice location is
10 N 1st Ave E Ste 202, Ely, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 216-8467.
Corie Stewart Mckibben is licensed to practice in Minnesota (license number 25428) 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 1952931586.
Healthcare Provider's Profile
Full Name | Corie Stewart Mckibben |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10 N 1st Ave E Ste 202, Ely, Minnesota |
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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: 1952931586
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 03/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587070123
- Enrollment ID: I20210308000241
Medical Identifiers
Medical identifiers for Corie Stewart Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952931586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 25428 (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. Corie Stewart Mckibben allows following entities to bill medicare on her behalf.
Entity Name | Kind Mind Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528327970 PECOS PAC ID: 8123283223 Enrollment ID: O20120622000068 |
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Entity Name | Mosaicself Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841875648 PECOS PAC ID: 2264849884 Enrollment ID: O20210329000089 |
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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. Corie Stewart Mckibben 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 |
Corie Stewart Mckibben, MSW, LICSW 1109 Ringrock Rd, Ely, MN 55731-8235 Ph: (218) 216-8467 | Corie Stewart Mckibben, MSW, LICSW 10 N 1st Ave E Ste 202, Ely, MN 55731-1473 Ph: (218) 216-8467 |
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