Kaitlyn Elizabeth Benz, LSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in East Grand Forks, Minnesota. Her current practice location is
210 Gateway Dr Ne Ste 4, East Grand Forks, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 230-0787.
Kaitlyn Elizabeth Benz is licensed to practice in Minnesota (license number 28796) 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 1821690546.
Healthcare Provider's Profile
Full Name | Kaitlyn Elizabeth Benz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 210 Gateway Dr Ne Ste 4, East Grand Forks, Minnesota |
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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: 1821690546
- Provider Enumeration Date: 11/09/2020
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981147865
- Enrollment ID: I20240620000330
Medical Identifiers
Medical identifiers for Kaitlyn Elizabeth Benz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821690546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 305848 (Minnesota) | Secondary |
104100000X | Social Worker | 28796 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 28796 (Minnesota) | Primary |
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. Kaitlyn Elizabeth Benz 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 |
Kaitlyn Elizabeth Benz, LSW, LADC 6801 Marlowe Ave Ne, Otsego, MN 55330-7435 Ph: (612) 816-5019 | Kaitlyn Elizabeth Benz, LSW, LADC 210 Gateway Dr Ne Ste 4, East Grand Forks, MN 56721-1621 Ph: (218) 230-0787 |
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