Carolyn Waterstradt, is a medicare enrolled "Social Worker - Clinical" provider in Norton Shores, Michigan. She graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
800 E Ellis Rd, Norton Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 799-4810.
Carolyn Waterstradt is licensed to practice in Michigan (license number 6801094245) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871996918.
Healthcare Provider's Profile
Full Name | Carolyn Waterstradt |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 12 Years |
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Location | 800 E Ellis Rd, Norton Shores, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carolyn Waterstradt graduated from medical school in 2012
NPI Data:
- NPI Number: 1871996918
- Provider Enumeration Date: 10/03/2014
- Last Update Date: 03/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 7517272131
- Enrollment ID: I20190514001072
Medical Identifiers
Medical identifiers for Carolyn Waterstradt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871996918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-02753 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801094245 (Michigan) | 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. Carolyn Waterstradt allows following entities to bill medicare on her behalf.
Entity Name | Carolyn Waterstradt, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922652783 PECOS PAC ID: 2365771201 Enrollment ID: O20190903000680 |
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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. Carolyn Waterstradt 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 |
Carolyn Waterstradt, 800 E Ellis Rd, Norton Shores, MI 49441-5646 Ph: () - | Carolyn Waterstradt, 800 E Ellis Rd, Norton Shores, MI 49441-5646 Ph: (231) 799-4810 |
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