Mr Colter Combellick, MSW, LICSW, CSW-PIP is a medicare enrolled "Social Worker - Clinical" provider in La Plant, South Dakota. His current practice location is
27249 Hwy 212, La Plant, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(507) 508-0180.
Mr Colter Combellick is licensed to practice in South Dakota (license number 5185) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447989272.
Healthcare Provider's Profile
Full Name | Mr Colter Combellick |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 27249 Hwy 212, La Plant, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447989272
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527509660
- Enrollment ID: I20240917002682
Medical Identifiers
Medical identifiers for Mr Colter Combellick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447989272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 5185 (South Dakota) | 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. Mr Colter Combellick allows following entities to bill medicare on his behalf.
Entity Name | Woodrow Wilson Keeble Memorial Health Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810 |
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Entity Name | Quentin N Burdick Comprehensive Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052 |
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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. Mr Colter Combellick 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 |
Mr Colter Combellick, MSW, LICSW, CSW-PIP 27249 Hwy 212, La Plant, SD 57652 Ph: (203) 810-4041 | Mr Colter Combellick, MSW, LICSW, CSW-PIP 27249 Hwy 212, La Plant, SD 57652 Ph: (507) 508-0180 |
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