Katelyn Weber, is a medicare enrolled "Social Worker - Clinical" provider in Moorhead, Minnesota. Her current practice location is
2405 8th St S Ste 200, Moorhead, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 331-4866.
Katelyn Weber is licensed to practice in Minnesota (license number 29067) 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 1669050746.
Healthcare Provider's Profile
| Full Name | Katelyn Weber |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2405 8th St S Ste 200, Moorhead, 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: 1669050746
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709243306
- Enrollment ID: I20230612003188
Medical Identifiers
Medical identifiers for Katelyn Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669050746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 29067 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 29067 (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. Katelyn Weber allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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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. Katelyn Weber 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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Katelyn Weber,
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 379-1766 | Katelyn Weber,
2405 8th St S Ste 200,
Moorhead, MN 56560-4200
Ph: (218) 331-4866 |
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