Diane Marie Perry, LICSW in Brooklyn Center, MN - Medicare Social Worker Provider

Diane Marie Perry, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn Center, Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 578-3976.

Diane Marie Perry is licensed to practice in Minnesota (license number 11584) 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 1598486177.

Contact Information

	Diane Marie Perry, LICSW
	6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107
	(612) 578-3976
	(763) 544-0984

Map and Direction

Healthcare Provider's Profile

Full Name	Diane Marie Perry
Gender	Female
Speciality	Social Worker - Clinical
Location	6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598486177
Provider Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0345626925
Enrollment ID: I20221005001489

Medical Identifiers

Medical identifiers for Diane Marie Perry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598486177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11584 (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. Diane Marie Perry allows following entities to bill medicare on her behalf.

Entity Name	Kidney Specialists Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629010228 PECOS PAC ID: 5092616029 Enrollment ID: O20040407001085

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. Diane Marie Perry 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
Diane Marie Perry, LICSW 210 Athens Way Ste 200, Nashville, TN 37228-1308 Ph: (612) 578-3976	Diane Marie Perry, LICSW 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 Ph: (612) 578-3976

Reviews and Comments

Social Worker in Brooklyn Center, MN

Melissa Wollman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Bobbi Jo B. Krieg, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201
Thomas R. Alf, LICSW, CPRP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612
Ms. Skye Davis, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5701 Shingle Creek Pkwy Ste 550, Brooklyn Center, MN 55430 Phone: 763-560-9621
Abigail Lane, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430 Phone: 763-569-5200 Fax: 763-569-5201
Ashley Michelle Beltrame, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6040 Earle Brown Dr Ste 420, Brooklyn Center, MN 55430 Phone: 952-522-1814
Michael Elliot Falck, LICSW, CPRP, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429 Phone: 763-537-6612 Fax: 763-537-7162

Diane Marie Perry, LICSW - Medicare Clinical Social Worker in Brooklyn Center, MN