Tiffany Grace Rundquist, in Bemidji, MN - Medicare Social Worker Provider

Tiffany Grace Rundquist, is a medicare enrolled "Social Worker - Clinical" provider in Bemidji, Minnesota. Her current practice location is 1705 Anne St Nw, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 751-3280.

Tiffany Grace Rundquist 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 1285419614.

Contact Information

	Tiffany Grace Rundquist,
	1705 Anne St Nw, Bemidji, MN 56601-6151
	(218) 751-3280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Grace Rundquist
Gender	Female
Speciality	Social Worker - Clinical
Location	1705 Anne St Nw, Bemidji, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285419614
Provider Enumeration Date: 08/24/2023
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1658717863
Enrollment ID: I20240311001979

Medical Identifiers

Medical identifiers for Tiffany Grace Rundquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285419614	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. Tiffany Grace Rundquist allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Of Northern Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

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. Tiffany Grace Rundquist 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
Tiffany Grace Rundquist, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Tiffany Grace Rundquist, 1705 Anne St Nw, Bemidji, MN 56601-6151 Ph: (218) 751-3280

Reviews and Comments

Social Worker in Bemidji, MN

Sahgahsega Merseth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-308-2400
Abbey Bohlman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 519 Anne St Nw Ste B, Bemidji, MN 56601 Phone: 218-444-2845
Jennifer J Pirkl, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-444-2847
Jeffrey Scott Widner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 4th St Nw Ste 115, Bemidji, MN 56601 Phone: 218-214-9389 Fax: 218-517-2034
Geri C Wilimek, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 Beltrami Ave Nw Ste 102, Bemidji, MN 56601 Phone: 218-209-8234
Mrs. Kimberly Jean Sletta Avenson, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 722 15th Street N.w., Bemidji, MN 56619 Phone: 218-751-3280 Fax: 218-751-3298
Vanessa Marie Wananu, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1426 Bemidji Ave N Ste 1, Bemidji, MN 56601 Phone: 218-444-2233 Fax: 218-237-2520

Tiffany Grace Rundquist, - Medicare Clinical Social Worker in Bemidji, MN