Ms Susan Kay Herzog, LICSW in Bismarck, ND - Medicare Social Worker Provider

Ms Susan Kay Herzog, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bismarck, North Dakota. Her current practice location is 1110 College Dr, Suite 215, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 471-1044.

Ms Susan Kay Herzog is licensed to practice in North Dakota (license number 513) 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 1992747042.

Contact Information

	Ms Susan Kay Herzog, LICSW
	1110 College Dr, Suite 215, Bismarck, ND 58501-1207
	(701) 471-1044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Susan Kay Herzog
Gender	Female
Speciality	Social Worker - Clinical
Location	1110 College Dr, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992747042
Provider Enumeration Date: 06/12/2006
Last Update Date: 08/15/2010

Medicare PECOS Information:

PECOS PAC ID: 1456444249
Enrollment ID: I20070911000015

Medical Identifiers

Medical identifiers for Ms Susan Kay Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992747042	NPI	-	NPPES
N16133	Other		RR MEDICARE PIN
19187	Medicaid	ND
016133	Other		BCBS OF ND PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	513 (North Dakota)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	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. Ms Susan Kay Herzog allows following entities to bill medicare on her behalf.

Entity Name	Decoteau Trauma-informed Care & Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174890016 PECOS PAC ID: 7911258025 Enrollment ID: O20180927002926

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. Ms Susan Kay Herzog 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
Ms Susan Kay Herzog, LICSW 200 E Main Ave, Suite 102-a, Bismarck, ND 58501-3857 Ph: (701) 471-1044	Ms Susan Kay Herzog, LICSW 1110 College Dr, Suite 215, Bismarck, ND 58501-1207 Ph: (701) 471-1044

Reviews and Comments

Social Worker in Bismarck, ND

Brooke Leanne Joritz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 State St Ste F, Bismarck, ND 58503 Phone: 701-895-4685
Kellie Hoffman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 Riverwood Dr Ste 105, Bismarck, ND 58504 Phone: 701-224-9751
Jackie Marie Lelm, LICSW, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1237 W Divide Ave, Ste 5, Bismarck, ND 58501 Phone: 701-328-8843 Fax: 701-328-8900
Darla J Stafford, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 E Interstate Ave Ste B, Bismarck, ND 58503 Phone: 701-323-6543 Fax: 701-323-5492
Elisabeth Oldham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1310 E Main Ave, Bismarck, ND 58501 Phone: 701-530-7195
Debra M. Bosch, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 Burnt Boat Dr, Second Floor, Bismarck, ND 58503 Phone: 701-323-0924 Fax: 701-323-0935
Nikki Marie Mundahl, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 N 11th St, Bismarck, ND 58501 Phone: 218-329-7097

Ms Susan Kay Herzog, LICSW - Medicare Clinical Social Worker in Bismarck, ND