Teresa A Souders, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brodhead, Wisconsin. Her current practice location is
504 E 8th Ave, Brodhead, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(267) 349-4816.
Teresa A Souders is licensed to practice in Wisconsin (license number 8718-123) 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 1407924004.
Healthcare Provider's Profile
Full Name | Teresa A Souders |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 504 E 8th Ave, Brodhead, Wisconsin |
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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: 1407924004
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436251105
- Enrollment ID: I20241118000435
Medical Identifiers
Medical identifiers for Teresa A Souders such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407924004 | NPI | - | NPPES |
098304 | Other | ME | ANTHEM LEGACY NUMBER |
432407099 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 8718-123 (Wisconsin) | 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. Teresa A Souders allows following entities to bill medicare on her behalf.
Entity Name | Cornerstone Counseling Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
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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. Teresa A Souders 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 |
Teresa A Souders, LCSW 504 E 8th Ave, Brodhead, WI 53520-1106 Ph: (267) 349-4816 | Teresa A Souders, LCSW 504 E 8th Ave, Brodhead, WI 53520-1106 Ph: (267) 349-4816 |
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