Kristie Marie Kopp Miller, LICSW in Mount Vernon, WA

Kristie Marie Kopp Miller, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mount Vernon, Washington. Her current practice location is 1075 Adams Ct, Mount Vernon, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 445-5203.

Kristie Marie Kopp Miller is licensed to practice in Washington (license number LW00009279) 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 1346944253.

Contact Information

	Kristie Marie Kopp Miller, LICSW
	1075 Adams Ct, Mount Vernon, WA 98274-8212
	(425) 445-5203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristie Marie Kopp Miller
Gender	Female
Speciality	Social Worker - Clinical
Location	1075 Adams Ct, Mount Vernon, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346944253
Provider Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678938826
Enrollment ID: I20230424001051

Medical Identifiers

Medical identifiers for Kristie Marie Kopp Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346944253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW00009279 (Washington)	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. Kristie Marie Kopp Miller allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Kristie Marie Kopp Miller 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
Kristie Marie Kopp Miller, LICSW 1075 Adams Ct, Mount Vernon, WA 98274-8212 Ph: (425) 445-5203	Kristie Marie Kopp Miller, LICSW 1075 Adams Ct, Mount Vernon, WA 98274-8212 Ph: (425) 445-5203

Reviews and Comments

Social Worker in Mount Vernon, WA

Edwin Blau, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 S 2nd St, Mount Vernon, WA 98273 Phone: 360-419-3500
Pam Reff, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 S 2nd St, Mount Vernon, WA 98273 Phone: 360-419-3519 Fax: 360-419-3535
Paul Douhan, LICSW, CSOTP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 N 1st St, Suite 46, Mount Vernon, WA 98273 Phone: 360-336-2626 Fax: 360-630-2034
Amy Pereira, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 S 2nd St, Mount Vernon, WA 98273 Phone: 253-876-5159
Elvia Zavala-suarez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 N 18th St Ste A, Mount Vernon, WA 98273 Phone: 360-362-8821 Fax: 360-588-5565
Ms. Elizabeth Findley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 S 1st St, Suite 305, Mount Vernon, WA 98273 Phone: 360-336-2610 Fax: 360-336-3270
Mrs. Evelyn Larsen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th St, Suite 200, Mount Vernon, WA 98274 Phone: 360-848-8500 Fax: 206-764-2062

Kristie Marie Kopp Miller, LICSW - Medicare Clinical Social Worker in Mount Vernon, WA