Dan Tadlock, LCSW in Bonners Ferry, ID - Medicare Social Worker Provider

Dan Tadlock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bonners Ferry, Idaho. His current practice location is 6883 Fresno St, Bonners Ferry, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 946-7005.

Dan Tadlock is licensed to practice in Idaho (license number LCSW-29379) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124397476.

Contact Information

	Dan Tadlock, LCSW
	6883 Fresno St, Bonners Ferry, ID 83805-8556
	(208) 946-7005
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dan Tadlock
Gender	Male
Speciality	Social Worker - Clinical
Location	6883 Fresno St, Bonners Ferry, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124397476
Provider Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011

Medicare PECOS Information:

PECOS PAC ID: 2264804616
Enrollment ID: I20230210001272

Medical Identifiers

Medical identifiers for Dan Tadlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124397476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-29379 (Idaho)	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. Dan Tadlock allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Tribe Of Idaho
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669594057 PECOS PAC ID: 7315184926 Enrollment ID: O20130517000477

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. Dan Tadlock 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
Dan Tadlock, LCSW 6883 Fresno St, Bonners Ferry, ID 83805-8556 Ph: (208) 946-7005	Dan Tadlock, LCSW 6883 Fresno St, Bonners Ferry, ID 83805-8556 Ph: (208) 946-7005

Reviews and Comments

Social Worker in Bonners Ferry, ID

Kimberly Ruth Carey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-520-7155
Gina M. Beck, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6451 Mccall St Ste D, Bonners Ferry, ID 83805 Phone: 208-304-2657 Fax: 208-215-2473
Robert Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 612-343-4215
Jeanne B Racer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 147 Emerson Ln, Bonners Ferry, ID 83805 Phone: 208-267-7522
Rachel Meiland-webster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3068, Room 200, Bonners Ferry, ID 83805 Phone: 208-267-8182
Susan F. Falck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7583 N. Main Street Hwy 95, Bonners Ferry, ID 83805 Phone: 208-267-1801 Fax: 208-267-9020

Dan Tadlock, LCSW - Medicare Clinical Social Worker in Bonners Ferry, ID