Theresa Bozic, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Theresa Bozic, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 1801 American Blvd E Ste 8, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 767-2267.

Theresa Bozic is licensed to practice in Minnesota (license number 15340) 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 1669692232.

Contact Information

	Theresa Bozic, LICSW
	1801 American Blvd E Ste 8, Minneapolis, MN 55425-1230
	(952) 767-2267
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Bozic
Gender	Female
Speciality	Social Worker - Clinical
Location	1801 American Blvd E Ste 8, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669692232
Provider Enumeration Date: 04/26/2007
Last Update Date: 05/13/2020

Medicare PECOS Information:

PECOS PAC ID: 4183026065
Enrollment ID: I20210714003695

Medical Identifiers

Medical identifiers for Theresa Bozic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669692232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	15340 (Minnesota)	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. Theresa Bozic allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Theresa Bozic 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
Theresa Bozic, LICSW 1801 American Blvd E Ste 8, Bloomington, MN 55425-1230 Ph: (952) 767-2267	Theresa Bozic, LICSW 1801 American Blvd E Ste 8, Minneapolis, MN 55425-1230 Ph: (952) 767-2267

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Schacher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Theresa Bozic, LICSW - Medicare Clinical Social Worker in Minneapolis, MN