Daniel Renstrom, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Augusta, Michigan. His current practice location is
16456 E C Ave, Augusta, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 888-4212.
Daniel Renstrom is licensed to practice in Michigan (license number 6801084943) 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 1679645147.
Healthcare Provider's Profile
| Full Name | Daniel Renstrom |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 16456 E C Ave, Augusta, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679645147
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638429673
- Enrollment ID: I20180912001605
Medical Identifiers
Medical identifiers for Daniel Renstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679645147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801084943 (Michigan) | 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. Daniel Renstrom allows following entities to bill medicare on his behalf.
| Entity Name | Vision Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124268867
PECOS PAC ID: 3274883764
Enrollment ID: O20180925002173 |
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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. Daniel Renstrom 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 |
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Daniel Renstrom, LMSW
515 E Stockbridge Ave,
Kalamazoo, MI 49001-2933
Ph: (269) 388-4875 | Daniel Renstrom, LMSW
16456 E C Ave,
Augusta, MI 49012-9340
Ph: (269) 888-4212 |
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