Kathryn Moser, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Baxter, Minnesota. Her current practice location is
13045 Falcon Dr, Suite 100, Baxter, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 829-9307.
Kathryn Moser is licensed to practice in Minnesota (license number 21592) 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 1164975793.
Healthcare Provider's Profile
Full Name | Kathryn Moser |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 13045 Falcon Dr, Baxter, 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: 1164975793
- Provider Enumeration Date: 08/01/2016
- Last Update Date: 01/22/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618237256
- Enrollment ID: I20180131000068
Medical Identifiers
Medical identifiers for Kathryn Moser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164975793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 21592 (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. Kathryn Moser 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. Kathryn Moser 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 |
Kathryn Moser, MSW, LICSW 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Kathryn Moser, MSW, LICSW 13045 Falcon Dr, Suite 100, Baxter, MN 56425-4201 Ph: (218) 829-9307 |
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