Soukthanome Thammavong, LICSW - Medicare Clinical Social Worker in Columbia Heights, MN

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Soukthanome Thammavong, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Columbia Heights, Minnesota. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 4111 Central Ave Ne Ste 201, Columbia Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 283-7194.

Soukthanome Thammavong is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164986246.

Contact Information

Soukthanome Thammavong, LICSW
4111 Central Ave Ne Ste 201,
Columbia Heights, MN 55421-2960
(763) 283-7194
(612) 437-4535

Map and Direction




Healthcare Provider's Profile

Full NameSoukthanome Thammavong
GenderFemale
SpecialityClinical Social Worker
Experience16 Years
Location4111 Central Ave Ne Ste 201, Columbia Heights, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Soukthanome Thammavong graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1164986246
  • Provider Enumeration Date: 01/23/2019
  • Last Update Date: 04/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688914047
  • Enrollment ID: I20190321000408

Medical Identifiers

Medical identifiers for Soukthanome Thammavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164986246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))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. Soukthanome Thammavong allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of Minnesota
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114019858
PECOS PAC ID: 7416856059
Enrollment ID: O20040102000679
Entity NameAnoka Health Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053816389
PECOS PAC ID: 7719307735
Enrollment ID: O20201013002528

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. Soukthanome Thammavong 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 AddressPractice Location Address
Soukthanome Thammavong, LICSW
2001 Bloomington Ave,
Minneapolis, MN 55404-3074

Ph: (612) 249-0941		Soukthanome Thammavong, LICSW
4111 Central Ave Ne Ste 201,
Columbia Heights, MN 55421-2960

Ph: (763) 283-7194

Reviews and Comments


Social Worker in Columbia Heights, MN

Mary Murzyn, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4056 Madison St Ne, Columbia Heights, MN 55421
Phone: 612-250-9448    
Maria Hughes,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4301 Tyler St Ne, Columbia Heights, MN 55421
Phone: 651-226-8284    
Erin Nicole Buller, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 825 41st Ave Ne, Columbia Heights, MN 55421
Phone: 763-706-8125    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.