Bailey Stottrup, is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. Her current practice location is
6401 France Ave S, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 924-2888.
Bailey Stottrup is licensed to practice in * (Not Available) (license number 27744) 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 1053967604.
Healthcare Provider's Profile
Full Name | Bailey Stottrup |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6401 France Ave S, Edina, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053967604
- Provider Enumeration Date: 08/09/2019
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446799795
- Enrollment ID: I20240829004216
Medical Identifiers
Medical identifiers for Bailey Stottrup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053967604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 27744 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 27744 (* (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. Bailey Stottrup allows following entities to bill medicare on her behalf.
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Bailey Stottrup 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 |
Bailey Stottrup, 6401 France Ave S, Edina, MN 55435-2104 Ph: () - | Bailey Stottrup, 6401 France Ave S, Edina, MN 55435-2104 Ph: (952) 924-2888 |
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