Kristina Lynn Carrera, MSW, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Gateway To Success, Pc and her current practice location is
2429 S Prairie Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 564-5070.
Kristina Lynn Carrera is licensed to practice in Colorado (license number CSW.09923606) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992079925.
Healthcare Provider's Profile
| Full Name | Kristina Lynn Carrera |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 2429 S Prairie Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristina Lynn Carrera graduated from medical school in 2011
NPI Data:
- NPI Number: 1992079925
- Provider Enumeration Date: 03/08/2012
- Last Update Date: 09/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123248077
- Enrollment ID: I20140929000368
Medical Identifiers
Medical identifiers for Kristina Lynn Carrera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992079925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 1057 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923606 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gateway To Success, Pc | 3173885670 | 7 |
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. Kristina Lynn Carrera allows following entities to bill medicare on her behalf.
| Entity Name | Gateway To Success, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922348481
PECOS PAC ID: 3173885670
Enrollment ID: O20180321001712 |
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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. Kristina Lynn Carrera 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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Kristina Lynn Carrera, MSW, LCSW, LAC
220 Ruskin Drive,
Colorado Springs, CO 80910
Ph: (719) 572-6100 | Kristina Lynn Carrera, MSW, LCSW, LAC
2429 S Prairie Ave,
Pueblo, CO 81005-2886
Ph: (719) 564-5070 |
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