Cristin Marie Trejos, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Park Rapids, Minnesota. Her current practice location is
1011 1st St E Ste 5, Park Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 321-9599.
Cristin Marie Trejos is licensed to practice in Minnesota (license number 30979) 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 1225420615.
Healthcare Provider's Profile
| Full Name | Cristin Marie Trejos |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1011 1st St E Ste 5, Park Rapids, 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: 1225420615
- Provider Enumeration Date: 02/23/2015
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789119355
- Enrollment ID: I20241120001442
Medical Identifiers
Medical identifiers for Cristin Marie Trejos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225420615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303931 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 30979 (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. Cristin Marie Trejos allows following entities to bill medicare on her behalf.
| Entity Name | Enlightenment Psychiatry Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629737473
PECOS PAC ID: 0143607440
Enrollment ID: O20220505002413 |
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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. Cristin Marie Trejos 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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Cristin Marie Trejos, LICSW, LADC
Po Box 1424,
Walker, MN 56484-1424
Ph: (218) 252-4753 | Cristin Marie Trejos, LICSW, LADC
1011 1st St E Ste 5,
Park Rapids, MN 56470-1764
Ph: (320) 321-9599 |
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