Susan May Dodge, LICSW in Brooklyn Park, MN - Medicare Social Worker Provider

Susan May Dodge, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn Park, Minnesota. Her current practice location is 120 74th Ave N, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 458-0706.

Susan May Dodge is licensed to practice in * (Not Available) (license number ) 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 1447992367.

Contact Information

	Susan May Dodge, LICSW
	120 74th Ave N, Brooklyn Park, MN 55444-2699
	(763) 458-0706
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan May Dodge
Gender	Female
Speciality	Social Worker - Clinical
Location	120 74th Ave N, Brooklyn Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447992367
Provider Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0547645582
Enrollment ID: I20220912003427

Medical Identifiers

Medical identifiers for Susan May Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447992367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social 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. Susan May Dodge allows following entities to bill medicare on her behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Susan May Dodge 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
Susan May Dodge, LICSW 120 74th Ave N, Brooklyn Park, MN 55444-2699 Ph: () -	Susan May Dodge, LICSW 120 74th Ave N, Brooklyn Park, MN 55444-2699 Ph: (763) 458-0706

Reviews and Comments

Social Worker in Brooklyn Park, MN

Mr. Phillip Ernest Larkins, MSW - LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10066 Toledo Dr N, Brooklyn Park, MN 55443 Phone: 612-991-6050
Kaitlin Burke, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4016 Willow Rd N, Brooklyn Park, MN 55443 Phone: 763-639-7474
Kimberly Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8424
Julie Markwardt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8800
Ms. Katelyn Mariah, M.A, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7600 Boone Ave N, Brooklyn Park, MN 55428 Phone: 763-515-2452 Fax: 763-515-2442
Aaron Bahn, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9300 Noble Pkwy N, Brooklyn Park, MN 55443 Phone: 763-236-5300 Fax: 763-236-5250
Karvee M Kawalawu, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7533 Idaho Ave N, Brooklyn Park, MN 55428 Phone: 612-735-9869

Susan May Dodge, LICSW - Medicare Clinical Social Worker in Brooklyn Park, MN