Mrs Annelise Ulrich, LICSW, LADC in Rutland, VT - Medicare Social Worker Provider

Mrs Annelise Ulrich, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Rutland, Vermont. Her current practice location is 215 Stratton Rd, Rutland, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 773-3386.

Mrs Annelise Ulrich is licensed to practice in Vermont (license number 0890058105) 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 1114250883.

Contact Information

	Mrs Annelise Ulrich, LICSW, LADC
	215 Stratton Rd, Rutland, VT 05701-4621
	(802) 773-3386
	(802) 773-4578

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Annelise Ulrich
Gender	Female
Speciality	Social Worker - Clinical
Location	215 Stratton Rd, Rutland, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114250883
Provider Enumeration Date: 09/14/2009
Last Update Date: 08/12/2015

Medicare PECOS Information:

PECOS PAC ID: 2769622745
Enrollment ID: I20130716000416

Medical Identifiers

Medical identifiers for Mrs Annelise Ulrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114250883	NPI	-	NPPES
1016818	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0890058105 (Vermont)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	089-00509 (Vermont)	Secondary

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 Annelise Ulrich allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784

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 Annelise Ulrich 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 Annelise Ulrich, LICSW, LADC 215 Stratton Rd, Rutland, VT 05701-4621 Ph: (802) 855-2027	Mrs Annelise Ulrich, LICSW, LADC 215 Stratton Rd, Rutland, VT 05701-4621 Ph: (802) 773-3386

Reviews and Comments

Social Worker in Rutland, VT

Ms. Margaret Bernetta Hough, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Madison St, Rutland, VT 05701 Phone: 802-775-5060
Shirley Markland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Court Sq, Rutland, VT 05701 Phone: 802-775-4388 Fax: 802-775-3307
Brooke J Whalen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386 Fax: 802-773-4578
Ms. Bridget Leicester, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701 Phone: 802-775-2581 Fax: 802-775-3395
M. Katrine Hughes, LICSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 92 Center St, Rutland, VT 05701 Phone: 802-770-8777 Fax: 877-501-7757
Krystal J Brown, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386
Sheila Sharrow, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Commons Street, Rutland, VT 05701 Phone: 802-772-2646

Mrs Annelise Ulrich, LICSW, LADC - Medicare Clinical Social Worker in Rutland, VT