Clarissa Detrie, MSW in Green Bay, WI - Medicare Clinical Social Worker Provider

Clarissa Detrie, MSW is a medicare enrolled "Counselor - Mental Health" provider in Green Bay, Wisconsin. She graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Family Services Of Northeast Wisconsin Inc and her current practice location is 300 Crooks St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 436-6800.

Clarissa Detrie is licensed to practice in * (Not Available) (license number ) 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 1073759577.

Contact Information

	Clarissa Detrie, MSW
	300 Crooks St, Green Bay, WI 54301-4527
	(920) 436-6800
	(920) 437-3540

Map and Direction

Healthcare Provider's Profile

Full Name	Clarissa Detrie
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	300 Crooks St, Green Bay, Wisconsin
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:

Clarissa Detrie graduated from medical school in 2008

NPI Data:

NPI Number: 1073759577
Provider Enumeration Date: 01/05/2009
Last Update Date: 12/15/2014

Medicare PECOS Information:

PECOS PAC ID: 1254504541
Enrollment ID: I20111102000191

Medical Identifiers

Medical identifiers for Clarissa Detrie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073759577	NPI	-	NPPES
1073759577	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Services Of Northeast Wisconsin Inc	7214832229	7

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. Clarissa Detrie allows following entities to bill medicare on her behalf.

Entity Name	Family Services Of Northeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275525925 PECOS PAC ID: 7214832229 Enrollment ID: O20031203000498

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. Clarissa Detrie 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
Clarissa Detrie, MSW 300 Crooks St, Green Bay, WI 54301-4527 Ph: (920) 436-6800	Clarissa Detrie, MSW 300 Crooks St, Green Bay, WI 54301-4527 Ph: (920) 436-6800

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
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Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Clarissa Detrie, MSW - Medicare Counselor in Green Bay, WI