Mrs Kelly Ann Buchta, MSW, LICSW in Pine City, MN - Medicare Social Worker Provider

Mrs Kelly Ann Buchta, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Pine City, Minnesota. Her current practice location is 220 Railroad St Se, Pine City, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 629-7600.

Mrs Kelly Ann Buchta is licensed to practice in Minnesota (license number 24674) 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 1114495827.

Contact Information

	Mrs Kelly Ann Buchta, MSW, LICSW
	220 Railroad St Se, Pine City, MN 55063
	(320) 629-7600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Ann Buchta
Gender	Female
Speciality	Social Worker - Clinical
Location	220 Railroad St Se, Pine City, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114495827
Provider Enumeration Date: 11/12/2018
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 1658792866
Enrollment ID: I20200526001284

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Buchta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114495827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	24674 (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 Kelly Ann Buchta allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth Wagner Psyd Lp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740637818 PECOS PAC ID: 4183967219 Enrollment ID: O20190513002410

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 Kelly Ann Buchta 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 Kelly Ann Buchta, MSW, LICSW 220 Railroad St Se, Pine City, MN 55063-1540 Ph: () -	Mrs Kelly Ann Buchta, MSW, LICSW 220 Railroad St Se, Pine City, MN 55063 Ph: (320) 629-7600

Reviews and Comments

Social Worker in Pine City, MN

Angela Marie Kemen, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 705 Hillside Ave Sw, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071
Bethany Almos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600
Karlie Gams, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600
Danielle Aubuchon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600
Mitchell Lee Demers, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071
Brenna Lyn Macdonald, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071

Mrs Kelly Ann Buchta, MSW, LICSW - Medicare Clinical Social Worker in Pine City, MN