Kristen Denise White-madsen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ceres, California. Her current practice location is
3607 Blaker Rd, Ceres, California. You can reach out to her office (for appointments etc.) via phone at
(209) 531-2088.
Kristen Denise White-madsen is licensed to practice in California (license number 81734) 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 1295933380.
Healthcare Provider's Profile
| Full Name | Kristen Denise White-madsen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3607 Blaker Rd, Ceres, California |
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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: 1295933380
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456609015
- Enrollment ID: I20180730003464
Medical Identifiers
Medical identifiers for Kristen Denise White-madsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295933380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW31516 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW81734 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 81734 (California) | 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 Denise White-madsen allows following entities to bill medicare on her behalf.
| Entity Name | Camarena Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891778114
PECOS PAC ID: 4880584317
Enrollment ID: O20040318000523 |
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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. Kristen Denise White-madsen 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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Kristen Denise White-madsen, LCSW
1708 Banyan Ct,
Ceres, CA 95307-1907
Ph: (095) 312-0882 | Kristen Denise White-madsen, LCSW
3607 Blaker Rd,
Ceres, CA 95307-9503
Ph: (209) 531-2088 |
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