Sierra Rose Yazzie Asamoa-tutu, LCSW in Gallup, NM - Medicare Social Worker Provider

Sierra Rose Yazzie Asamoa-tutu, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gallup, New Mexico. Her current practice location is 2025 E Aztec Ave, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 863-3120.

Sierra Rose Yazzie Asamoa-tutu is licensed to practice in New Mexico (license number C-11727) 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 1215379110.

Contact Information

	Sierra Rose Yazzie Asamoa-tutu, LCSW
	2025 E Aztec Ave, Gallup, NM 87301-4803
	(505) 863-3120
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sierra Rose Yazzie Asamoa-tutu
Gender	Female
Speciality	Social Worker - Clinical
Location	2025 E Aztec Ave, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215379110
Provider Enumeration Date: 07/22/2013
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 5193129989
Enrollment ID: I20210802000143

Medical Identifiers

Medical identifiers for Sierra Rose Yazzie Asamoa-tutu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215379110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C-11727 (New Mexico)	Primary
1041C0700X	Social Worker - Clinical	22428 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	(* (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. Sierra Rose Yazzie Asamoa-tutu allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Sierra Rose Yazzie Asamoa-tutu 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
Sierra Rose Yazzie Asamoa-tutu, LCSW 2025 E Aztec Ave, Gallup, NM 87301-4803 Ph: (505) 863-3120	Sierra Rose Yazzie Asamoa-tutu, LCSW 2025 E Aztec Ave, Gallup, NM 87301-4803 Ph: (505) 863-3120

Reviews and Comments

Social Worker in Gallup, NM

Summer B Hogue, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Betty Sharon Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-697-4189
Tristan Glenn Keller, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612
Judy Martinez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Beverly Tamanini, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 1/2 E Hill Ave, Gallup, NM 87301 Phone: 505-863-1930
Mr. Vernon Thomas Jaques, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-697-4189

Sierra Rose Yazzie Asamoa-tutu, LCSW - Medicare Clinical Social Worker in Gallup, NM