Laurie Endris, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Minnesota. Her current practice location is
1101 E 78th St Ste 100, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 854-5034.
Laurie Endris is licensed to practice in Minnesota (license number 28160) 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 1447923990.
Healthcare Provider's Profile
Full Name | Laurie Endris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1101 E 78th St Ste 100, Bloomington, 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: 1447923990
- Provider Enumeration Date: 07/30/2021
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173981735
- Enrollment ID: I20230614002654
Medical Identifiers
Medical identifiers for Laurie Endris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447923990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 28160 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 28160 (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. Laurie Endris 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. Laurie Endris 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 |
Laurie Endris, LICSW 3245 Oakland Ave, Minneapolis, MN 55407-2003 Ph: (612) 812-8079 | Laurie Endris, LICSW 1101 E 78th St Ste 100, Bloomington, MN 55420-1402 Ph: (952) 854-5034 |
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