Kristin Ashlie Staten Hall, LCSW in Willmar, MN - Medicare Social Worker Provider

Kristin Ashlie Staten Hall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Willmar, Minnesota. Her current practice location is 1125 6th St Se, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 235-4613.

Kristin Ashlie Staten Hall is licensed to practice in Virginia (license number 0904010776) 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 1073078705.

Contact Information

	Kristin Ashlie Staten Hall, LCSW
	1125 6th St Se, Willmar, MN 56201-4675
	(320) 235-4613
	(855) 625-7406

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Ashlie Staten Hall
Gender	Female
Speciality	Social Worker - Clinical
Location	1125 6th St Se, Willmar, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073078705
Provider Enumeration Date: 02/06/2019
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 9234543372
Enrollment ID: I20220810000446

Medical Identifiers

Medical identifiers for Kristin Ashlie Staten Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073078705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904010776 (Virginia)	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. Kristin Ashlie Staten Hall allows following entities to bill medicare on her behalf.

Entity Name	Woodland Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600

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. Kristin Ashlie Staten Hall 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
Kristin Ashlie Staten Hall, LCSW 7343 Saint Thomas Loop, Manassas, VA 20109-7116 Ph: () -	Kristin Ashlie Staten Hall, LCSW 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613

Reviews and Comments

Social Worker in Willmar, MN

Cheryl Block Hansen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Willmar, MN 56201 Phone: 320-235-7232
Jenna Prusa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 5th St Sw, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924
Becca Warne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613
Mr. Barry Leroy Evans, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140
Taylor Madsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613
Mrs. Brenda Jean Hubers, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1604 1st St S, #225, Willmar, MN 56201 Phone: 320-905-4163
David Anthony Munson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9141

Kristin Ashlie Staten Hall, LCSW - Medicare Clinical Social Worker in Willmar, MN