Laurie K Halversen, LCSW in Clearlake, CA - Medicare Social Worker Provider

Laurie K Halversen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clearlake, California. Her current practice location is 15630 18th Ave, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at (707) 994-6486.

Laurie K Halversen is licensed to practice in California (license number LCS 26339) 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 1356649545.

Contact Information

	Laurie K Halversen, LCSW
	15630 18th Ave, Clearlake, CA 95422-9336
	(707) 994-6486
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laurie K Halversen
Gender	Female
Speciality	Social Worker - Clinical
Location	15630 18th Ave, Clearlake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356649545
Provider Enumeration Date: 03/11/2011
Last Update Date: 03/11/2011

Medicare PECOS Information:

PECOS PAC ID: 9234578840
Enrollment ID: I20240416001476

Medical Identifiers

Medical identifiers for Laurie K Halversen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356649545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 26339 (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. Laurie K Halversen allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

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. Laurie K Halversen 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
Laurie K Halversen, LCSW 15630 18th Ave, Clearlake, CA 95422-9336 Ph: (707) 994-6486	Laurie K Halversen, LCSW 15630 18th Ave, Clearlake, CA 95422-9336 Ph: (707) 994-6486

Reviews and Comments

Social Worker in Clearlake, CA

Marian Rose Pena, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401
Veronica Harrison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545
Michael Hodson Street, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-508-6412 Fax: 707-274-9192
Crystal Rodrigues, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090
Robin Penelope Patton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545
Heather Kristine Kriken, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6945 Old Highway 53, Clearlake, CA 95422 Phone: 707-530-8931

Laurie K Halversen, LCSW - Medicare Clinical Social Worker in Clearlake, CA