Kristen Pavela, MSW, LCSW, MBA, CSAC is a medicare enrolled "Social Worker - Clinical" provider in La Crosse, Wisconsin. Her current practice location is
700 West Ave South, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 785-0940.
Kristen Pavela is licensed to practice in Wisconsin (license number 9369) 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 1861926008.
Healthcare Provider's Profile
| Full Name | Kristen Pavela |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 700 West Ave South, La Crosse, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1861926008
- Provider Enumeration Date: 04/14/2017
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870027071
- Enrollment ID: I20241111002867
Medical Identifiers
Medical identifiers for Kristen Pavela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861926008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 32878 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9369 (Wisconsin) | 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. Kristen Pavela allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684 |
|---|
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. Kristen Pavela 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 |
|---|
Kristen Pavela, MSW, LCSW, MBA, CSAC
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Kristen Pavela, MSW, LCSW, MBA, CSAC
700 West Ave South,
La Crosse, WI 54601-8806
Ph: (608) 785-0940 |
Reviews and Comments