Whitney Thurgood Israelsen, in Logan, UT - Medicare Social Worker Provider

Whitney Thurgood Israelsen, is a medicare enrolled "Social Worker - Clinical" provider in Logan, Utah. Her current practice location is 655 E 1300 N, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 792-6491.

Whitney Thurgood Israelsen is licensed to practice in Utah (license number 8304623-3501) 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 1982952610.

Contact Information

	Whitney Thurgood Israelsen,
	655 E 1300 N, Logan, UT 84341
	(435) 792-6491
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Whitney Thurgood Israelsen
Gender	Female
Speciality	Social Worker - Clinical
Location	655 E 1300 N, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982952610
Provider Enumeration Date: 08/28/2012
Last Update Date: 12/01/2014

Medicare PECOS Information:

PECOS PAC ID: 5799075297
Enrollment ID: I20160610001055

Medical Identifiers

Medical identifiers for Whitney Thurgood Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982952610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8304623-3501 (Utah)	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. Whitney Thurgood Israelsen allows following entities to bill medicare on her behalf.

Entity Name	Brightside Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230627000845

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. Whitney Thurgood Israelsen 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
Whitney Thurgood Israelsen, 655 E 1300 N, Logan, UT 84341 Ph: (435) 792-6491	Whitney Thurgood Israelsen, 655 E 1300 N, Logan, UT 84341 Ph: (435) 792-6491

Reviews and Comments

Social Worker in Logan, UT

Mr. Jared M. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 W 1400 N, Suite A, Logan, UT 84341 Phone: 435-752-5302 Fax: 435-753-9007
Ashley Carolina Brog, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 W 100 S Ste 200, Logan, UT 84321 Phone: 801-822-2109
Mr. Jeremy Clayton Hilton I, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 E 1260 N, Logan, UT 84341 Phone: 435-750-6300
Lorii Ann Hubbard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2616 Black Walnut Dr, Logan, UT 84341 Phone: 435-890-9323
Tia Lynn Rowley, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N Ste O, Logan, UT 84321 Phone: 435-915-6777
Megan Lynn Andersen, CSW, CTRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 W Cache Valley Blvd Ste 5c, Logan, UT 84341 Phone: 435-538-2152
Jasmine Karinne Hopkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2072 N Main St Ste 201, Logan, UT 84341 Phone: 801-655-5450

Whitney Thurgood Israelsen, - Medicare Clinical Social Worker in Logan, UT