Katie Marie Ladenburg, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Seattle, Washington. Her current practice location is
1307 N 45th St Ste 200, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 414-4266.
Katie Marie Ladenburg is licensed to practice in Washington (license number LW61291771) 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 1457893877.
Healthcare Provider's Profile
Full Name | Katie Marie Ladenburg |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1307 N 45th St Ste 200, Seattle, Washington |
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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: 1457893877
- Provider Enumeration Date: 11/16/2016
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153789243
- Enrollment ID: I20230622000332
Medical Identifiers
Medical identifiers for Katie Marie Ladenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457893877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CG60714326 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61291771 (Washington) | 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. Katie Marie Ladenburg allows following entities to bill medicare on her behalf.
Entity Name | Peninsula Psychological Center Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346274289 PECOS PAC ID: 1456321785 Enrollment ID: O20040726001320 |
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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. Katie Marie Ladenburg 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 |
Katie Marie Ladenburg, LICSW 1307 N 45th St Ste 200, Seattle, WA 98103-6741 Ph: (253) 414-4266 | Katie Marie Ladenburg, LICSW 1307 N 45th St Ste 200, Seattle, WA 98103-6741 Ph: (253) 414-4266 |
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