Melissa Goroni Larson, LICSW in Chaska, MN - Medicare Clinical Social Worker Provider

Melissa Goroni Larson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Chaska, Minnesota. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Affinity Psychological Services Pc and her current practice location is 111 Hundertmark Rd Ste 205n, Chaska, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 903-1350.

Melissa Goroni Larson is licensed to practice in Minnesota (license number 26844) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184219974.

Contact Information

	Melissa Goroni Larson, LICSW
	111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586
	(952) 903-1350
	(952) 426-3856

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Goroni Larson
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	111 Hundertmark Rd Ste 205n, Chaska, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Melissa Goroni Larson graduated from medical school in 2017

NPI Data:

NPI Number: 1184219974
Provider Enumeration Date: 03/04/2021
Last Update Date: 06/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7810374170
Enrollment ID: I20220507000109

Medical Identifiers

Medical identifiers for Melissa Goroni Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184219974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26844 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Psychological Services Pc	0749528552	31

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. Melissa Goroni Larson allows following entities to bill medicare on her behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

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. Melissa Goroni Larson 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
Melissa Goroni Larson, LICSW 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800	Melissa Goroni Larson, LICSW 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 Ph: (952) 903-1350

Reviews and Comments

Social Worker in Chaska, MN

Mrs. Kristine Maria Erickson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Bavaria Ln, Box 71, Chaska, MN 55318 Phone: 952-448-3625
Mr. Thomas Alan Mclarnan, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1107 Hazeltine Blvd, Chaska, MN 55318 Phone: 612-670-0213 Fax: 952-448-8817
Barbara Priebe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 E 6th St, Chaska, MN 55318 Phone: 952-368-0163
Ms. Joy Irene Fischer, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd Ste 408, Chaska, MN 55318 Phone: 952-240-9011
Heidi Louise Mangelsen, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 Hundertmark Rd Ste 220, Chaska, MN 55318 Phone: 952-448-2050
Megan Boyington, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 Hundertmark Rd Ste 205n, 212 Medical Building, Chaska, MN 55318 Phone: 952-903-1350

Melissa Goroni Larson, LICSW - Medicare Clinical Social Worker in Chaska, MN