Angela S Niffenegger, LICSW LAC LADC is a medicare enrolled "Social Worker - Clinical" provider in Grand Forks, North Dakota. Her current practice location is
151 S 4th St Ste 401, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 795-3000.
Angela S Niffenegger is licensed to practice in North Dakota (license number 4456) 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 1255508859.
Healthcare Provider's Profile
| Full Name | Angela S Niffenegger |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 151 S 4th St Ste 401, Grand Forks, North 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: 1255508859
- Provider Enumeration Date: 05/13/2008
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284975392
- Enrollment ID: I20190417002047
Medical Identifiers
Medical identifiers for Angela S Niffenegger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255508859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302260 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1725 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 18337 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4456 (North Dakota) | 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. Angela S Niffenegger allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Human Service Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366496341
PECOS PAC ID: 1658341441
Enrollment ID: O20040729000033 |
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| Entity Name | Sanford Health Network North |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366478760
PECOS PAC ID: 8022206663
Enrollment ID: O20171226001068 |
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| Entity Name | I Am Worth It, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235753823
PECOS PAC ID: 1254714371
Enrollment ID: O20220822002645 |
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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. Angela S Niffenegger 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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Angela S Niffenegger, LICSW LAC LADC
151 S 4th St Ste 401,
Grand Forks, ND 58201-4715
Ph: (701) 795-3000 | Angela S Niffenegger, LICSW LAC LADC
151 S 4th St Ste 401,
Grand Forks, ND 58201-4715
Ph: (701) 795-3000 |
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