Alyssa Maria Prohaski, LMSW is a medicare enrolled "Social Worker" provider in Waterloo, Iowa. Her current practice location is
1112 Mobile St, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 290-6001.
Alyssa Maria Prohaski is licensed to practice in Iowa (license number 007222) 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 1659525160.
Healthcare Provider's Profile
| Full Name | Alyssa Maria Prohaski |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1112 Mobile St, Waterloo, Iowa |
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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: 1659525160
- Provider Enumeration Date: 11/11/2008
- Last Update Date: 07/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446644843
- Enrollment ID: I20220301001608
Medical Identifiers
Medical identifiers for Alyssa Maria Prohaski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659525160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW30669 (California) | Secondary |
| 104100000X | Social Worker | 007222 (Iowa) | 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. Alyssa Maria Prohaski allows following entities to bill medicare on her behalf.
| Entity Name | Mitchell County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407925522
PECOS PAC ID: 5890603070
Enrollment ID: O20040127000973 |
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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. Alyssa Maria Prohaski 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 |
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Alyssa Maria Prohaski, LMSW
5617 Rochelle Dr,
Waterloo, IA 50701-9562
Ph: (319) 290-6001 | Alyssa Maria Prohaski, LMSW
1112 Mobile St,
Waterloo, IA 50703-3238
Ph: (319) 290-6001 |
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