Mary Carr Slade, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Mary Carr Slade, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 2120 Park Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 774-0011.

Mary Carr Slade is licensed to practice in Minnesota (license number 22057) 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 1104533520.

Contact Information

	Mary Carr Slade, LICSW
	2120 Park Ave, Minneapolis, MN 55404-3378
	(651) 774-0011
	(651) 774-0606

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Carr Slade
Gender	Female
Speciality	Social Worker - Clinical
Location	2120 Park Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104533520
Provider Enumeration Date: 11/04/2022
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7113397746
Enrollment ID: I20221222002720

Medical Identifiers

Medical identifiers for Mary Carr Slade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104533520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22057 (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. Mary Carr Slade allows following entities to bill medicare on her behalf.

Entity Name	People Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071

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. Mary Carr Slade 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
Mary Carr Slade, LICSW 3000 Ames Crossing Rd Ste 600, Eagan, MN 55121-2519 Ph: (651) 774-0011	Mary Carr Slade, LICSW 2120 Park Ave, Minneapolis, MN 55404-3378 Ph: (651) 774-0011

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Schacher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Mary Carr Slade, LICSW - Medicare Clinical Social Worker in Minneapolis, MN