Brenna Munoz, is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is
2215 E Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 596-9438.
Brenna Munoz is licensed to practice in Minnesota (license number 27429) 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 1710695440.
Healthcare Provider's Profile
| Full Name | Brenna Munoz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2215 E Lake St, Minneapolis, Minnesota |
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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: 1710695440
- Provider Enumeration Date: 11/10/2022
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901275379
- Enrollment ID: I20221206002787
Medical Identifiers
Medical identifiers for Brenna Munoz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710695440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306547 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27429 (Minnesota) | 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. Brenna Munoz allows following entities to bill medicare on her behalf.
| Entity Name | Hennepin County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012 |
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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. Brenna Munoz 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 |
|---|
Brenna Munoz,
2215 E Lake St,
Minneapolis, MN 55407-4385
Ph: (612) 596-9438 | Brenna Munoz,
2215 E Lake St,
Minneapolis, MN 55407-4385
Ph: (612) 596-9438 |
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