Maita Yang, LICSW in Champlin, MN - Medicare Social Worker Provider

Maita Yang, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Champlin, Minnesota. Her current practice location is 11468 Marketplace Dr N Ste 600-1267, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 267-2520.

Maita Yang is licensed to practice in Minnesota (license number 23020) 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 1881302172.

Contact Information

	Maita Yang, LICSW
	11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316-3872
	(763) 267-2520
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maita Yang
Gender	Female
Speciality	Social Worker - Clinical
Location	11468 Marketplace Dr N Ste 600-1267, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881302172
Provider Enumeration Date: 11/07/2022
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3375913445
Enrollment ID: I20230105002729

Medical Identifiers

Medical identifiers for Maita Yang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881302172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23020 (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. Maita Yang allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Maita Yang 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
Maita Yang, LICSW 9994 190th Ave Nw, Elk River, MN 55330-2459 Ph: (763) 267-2520	Maita Yang, LICSW 11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316-3872 Ph: (763) 267-2520

Reviews and Comments

Social Worker in Champlin, MN

Lindsey Nicole Job, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600
Jessica Ladner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-324, Champlin, MN 55316 Phone: 763-260-5730 Fax: 763-220-3738
Mr. Christopher David Emery, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-442-8101 Fax: 763-951-3097
Mrs. Song Lor Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11205 Virginia Ave N, Champlin, MN 55316 Phone: 763-315-1401 Fax: 763-315-1401
Ms. Kimberly Lynne Sobon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7914 113th Ave N, Champlin, MN 55316 Phone: 612-483-6452

Maita Yang, LICSW - Medicare Clinical Social Worker in Champlin, MN