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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