Sarita Consuelo Tiza, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Morris, Minnesota. Her current practice location is
400 E 1st St, Morris, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 451-2630.
Sarita Consuelo Tiza is licensed to practice in Minnesota (license number 25882) 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 1700430832.
Healthcare Provider's Profile
Full Name | Sarita Consuelo Tiza |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 400 E 1st St, Morris, 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: 1700430832
- Provider Enumeration Date: 07/26/2019
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163752858
- Enrollment ID: I20190923002800
Medical Identifiers
Medical identifiers for Sarita Consuelo Tiza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700430832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 25882 (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. Sarita Consuelo Tiza allows following entities to bill medicare on her behalf.
Entity Name | Stevens Community Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417105552 PECOS PAC ID: 3678475852 Enrollment ID: O20040127000493 |
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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. Sarita Consuelo Tiza 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 |
Sarita Consuelo Tiza, LICSW 1602 8th Ave Ne, Owatonna, MN 55060-1504 Ph: (507) 676-2979 | Sarita Consuelo Tiza, LICSW 400 E 1st St, Morris, MN 56267-1408 Ph: (507) 451-2630 |
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