Megan Hickenbottom, LICSW in Fridley, MN - Medicare Social Worker Provider

Megan Hickenbottom, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fridley, Minnesota. Her current practice location is 520 Osborne Rd Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-7958.

Megan Hickenbottom is licensed to practice in Minnesota (license number 22369) 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 1093277238.

Contact Information

	Megan Hickenbottom, LICSW
	520 Osborne Rd Ne, Fridley, MN 55432-2718
	(763) 236-7958
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Megan Hickenbottom
Gender	Female
Speciality	Social Worker - Clinical
Location	520 Osborne Rd 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: 1093277238
Provider Enumeration Date: 04/05/2019
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9234472432
Enrollment ID: I20190509001660

Medical Identifiers

Medical identifiers for Megan Hickenbottom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093277238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22369 (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. Megan Hickenbottom allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Megan Hickenbottom 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
Megan Hickenbottom, LICSW 3305 Queensland Ln N, Plymouth, MN 55447-1133 Ph: (612) 720-5632	Megan Hickenbottom, LICSW 520 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-7958

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
D'undra Willis, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1250 Moore Lake Dr E Ste 205d, Fridley, MN 55432 Phone: 612-412-4819 Fax: 651-304-6027
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
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

Megan Hickenbottom, LICSW - Medicare Clinical Social Worker in Fridley, MN