Carrie B Ison, LCSW,SAC is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. Her current practice location is
301 E Saint Joseph St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 433-3630.
Carrie B Ison is licensed to practice in Wisconsin (license number 8579-123) 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 1083039259.
Healthcare Provider's Profile
| Full Name | Carrie B Ison |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 301 E Saint Joseph St, Green Bay, Wisconsin |
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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: 1083039259
- Provider Enumeration Date: 02/25/2014
- Last Update Date: 09/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971874751
- Enrollment ID: I20170814000622
Medical Identifiers
Medical identifiers for Carrie B Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083039259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18174-130 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8579-123 (Wisconsin) | 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. Carrie B Ison allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053718890
PECOS PAC ID: 2961713359
Enrollment ID: O20150626000303 |
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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. Carrie B Ison 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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Carrie B Ison, LCSW,SAC
Po Box 22040,
Green Bay, WI 54305-2040
Ph: (920) 445-7222 | Carrie B Ison, LCSW,SAC
301 E Saint Joseph St,
Green Bay, WI 54301-2241
Ph: (920) 433-3630 |
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