Kristen Kolzow, LCSW in Chino Hills, CA - Medicare Social Worker Provider

Kristen Kolzow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chino Hills, California. Her current practice location is 1907 Boys Republic Dr, Chino Hills, California. You can reach out to her office (for appointments etc.) via phone at (909) 628-1217.

Kristen Kolzow is licensed to practice in California (license number LCS 24524) 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 1851431498.

Contact Information

	Kristen Kolzow, LCSW
	1907 Boys Republic Dr, Chino Hills, CA 91709-5447
	(909) 628-1217
	(909) 993-1106

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Kolzow
Gender	Female
Speciality	Social Worker - Clinical
Location	1907 Boys Republic Dr, Chino Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851431498
Provider Enumeration Date: 02/06/2007
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 4981005733
Enrollment ID: I20210630001924

Medical Identifiers

Medical identifiers for Kristen Kolzow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851431498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 24524 (California)	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. Kristen Kolzow allows following entities to bill medicare on her behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Kristen Kolzow 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
Kristen Kolzow, LCSW 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 Ph: (909) 628-1217	Kristen Kolzow, LCSW 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 Ph: (909) 628-1217

Reviews and Comments

Social Worker in Chino Hills, CA

Heather Custodio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13462 Montserrat Ct, Chino Hills, CA 91709 Phone: 626-823-7140
Noreen Kopaczewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-993-1106
Mr. David John Palmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-993-1106
Mr. Blake Michael Moreno, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17831 Autry Ct, Chino Hills, CA 91709 Phone: 951-444-5140
Ashley Vidaurri, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Deer Haven Dr, Chino Hills, CA 91709 Phone: 909-262-1752
Mariah Jollene Rosauer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3624 Margaret Fowler Ct, Chino Hills, CA 91709 Phone: 909-740-3133 Fax: 909-306-5427
Linda Mei Lin Rohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15665 Ladera Vista Dr, Chino Hills, CA 91709 Phone: 714-873-8023

Kristen Kolzow, LCSW - Medicare Clinical Social Worker in Chino Hills, CA