Sonja Anne Tennyson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Custer, South Dakota. Her current practice location is
35 S 4th St, Custer, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 440-1960.
Sonja Anne Tennyson is licensed to practice in South Dakota (license number 5121) 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 1013740158.
Healthcare Provider's Profile
Full Name | Sonja Anne Tennyson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 35 S 4th St, Custer, South Dakota |
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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: 1013740158
- Provider Enumeration Date: 08/23/2024
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375075641
- Enrollment ID: I20241011003386
Medical Identifiers
Medical identifiers for Sonja Anne Tennyson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013740158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 5121 (South Dakota) | Primary |
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. Sonja Anne Tennyson 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 |
Sonja Anne Tennyson, LCSW 11983 Mellow Meadow Pl, Custer, SD 57730-9212 Ph: (605) 440-1960 | Sonja Anne Tennyson, LCSW 35 S 4th St, Custer, SD 57730-1916 Ph: (605) 440-1960 |
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