Krysta Victoria Mazur, LICSW in Fridley, MN - Medicare Social Worker Provider

Krysta Victoria Mazur, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fridley, Minnesota. Her current practice location is 7954 University Ave Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-3036.

Krysta Victoria Mazur is licensed to practice in Minnesota (license number 23468) 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 1275194391.

Contact Information

	Krysta Victoria Mazur, LICSW
	7954 University Ave Ne, Fridley, MN 55432-1860
	(763) 780-3036
	(763) 780-0784

Map and Direction

Healthcare Provider's Profile

Full Name	Krysta Victoria Mazur
Gender	Female
Speciality	Social Worker - Clinical
Location	7954 University Ave Ne, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275194391
Provider Enumeration Date: 06/28/2019
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6800232232
Enrollment ID: I20240307003935

Medical Identifiers

Medical identifiers for Krysta Victoria Mazur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275194391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23468 (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. Krysta Victoria Mazur allows following entities to bill medicare on her behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

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. Krysta Victoria Mazur 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
Krysta Victoria Mazur, LICSW 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446-3813 Ph: (612) 688-3701	Krysta Victoria Mazur, LICSW 7954 University Ave Ne, Fridley, MN 55432-1860 Ph: (763) 780-3036

Reviews and Comments

Social Worker in Fridley, MN

Kimberly E Schultz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338
Charlette Kay Carlotto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299
Carolyn Sarah Menger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432 Phone: 612-389-2332 Fax: 612-389-2338
Mrs. Erin Kristine Church, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 255, Fridley, MN 55432 Phone: 763-786-6011
Megan Hickenbottom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-7958
Amanda Boelen Harrington, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036
Shannon Martina Rapalo Medina, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-913-9184

Krysta Victoria Mazur, LICSW - Medicare Clinical Social Worker in Fridley, MN