Dasha Kotalik, LCSW, CACII is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. Her current practice location is
10500 Smith Rd, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 913-3789.
Dasha Kotalik is licensed to practice in Colorado (license number 09924253) 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 1285086215.
Healthcare Provider's Profile
Full Name | Dasha Kotalik |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10500 Smith Rd, Denver, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285086215
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 07/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153868765
- Enrollment ID: I20240731004277
Medical Identifiers
Medical identifiers for Dasha Kotalik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285086215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0007722 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 09924253 (Colorado) | 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. Dasha Kotalik allows following entities to bill medicare on her behalf.
Entity Name | Polaris Partners Counseling And Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780099028 PECOS PAC ID: 2769892538 Enrollment ID: O20201105002183 |
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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. Dasha Kotalik 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 |
Dasha Kotalik, LCSW, CACII Po Box 1108, Denver, CO 80201-1108 Ph: () - | Dasha Kotalik, LCSW, CACII 10500 Smith Rd, Denver, CO 80239-3232 Ph: (720) 913-3789 |
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