Mrs Alissa Mae Zack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rice Lake, Minnesota. Her current practice location is
4474 W Calvary Rd, Rice Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 591-8590.
Mrs Alissa Mae Zack is licensed to practice in Minnesota (license number 31521) 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 1992544951.
Healthcare Provider's Profile
Full Name | Mrs Alissa Mae Zack |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4474 W Calvary Rd, Rice Lake, Minnesota |
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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: 1992544951
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981143559
- Enrollment ID: I20240827002515
Medical Identifiers
Medical identifiers for Mrs Alissa Mae Zack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992544951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 31521 (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. Mrs Alissa Mae Zack allows following entities to bill medicare on her behalf.
Entity Name | Insight Counseling Duluth Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295265783 PECOS PAC ID: 4486911187 Enrollment ID: O20171205003620 |
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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. Mrs Alissa Mae Zack 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 |
Mrs Alissa Mae Zack, LCSW 4474 W Calvary Rd, Rice Lake, MN 55803-1269 Ph: (218) 591-8590 | Mrs Alissa Mae Zack, LCSW 4474 W Calvary Rd, Rice Lake, MN 55803-1269 Ph: (218) 591-8590 |
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