Tori Sarah Thaler, LCSW-PIP, LISW is a medicare enrolled "Social Worker - Clinical" provider in Wagner, South Dakota. Her current practice location is
513 3rd St Sw, Wagner, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 384-3611.
Tori Sarah Thaler is licensed to practice in South Dakota (license number 6308) 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 1972231751.
Healthcare Provider's Profile
| Full Name | Tori Sarah Thaler |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 513 3rd St Sw, Wagner, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972231751
- Provider Enumeration Date: 08/10/2022
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335510734
- Enrollment ID: I20230123001636
Medical Identifiers
Medical identifiers for Tori Sarah Thaler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972231751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 100180 (Iowa) | Secondary |
| 104100000X | Social Worker | 5190 (South Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6308 (South Dakota) | Primary |
| 104100000X | Social Worker | 100180 (Iowa) | Secondary |
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. Tori Sarah Thaler allows following entities to bill medicare on her behalf.
| Entity Name | Wagner Community Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740306992
PECOS PAC ID: 3577459700
Enrollment ID: O20040225000391 |
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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. Tori Sarah Thaler 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 |
|---|
Tori Sarah Thaler, LCSW-PIP, LISW
513 3rd St Sw,
Wagner, SD 57380-9675
Ph: (605) 384-3418 | Tori Sarah Thaler, LCSW-PIP, LISW
513 3rd St Sw,
Wagner, SD 57380-9675
Ph: (605) 384-3611 |
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