Madeline Anne Squires, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edina, Minnesota. She graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairview Express Care and her current practice location is
3400 W 66th St Ste 400, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 672-6999.
Madeline Anne Squires is licensed to practice in Minnesota (license number 28606) 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 1487307765.
Healthcare Provider's Profile
| Full Name | Madeline Anne Squires |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 3400 W 66th St Ste 400, Edina, Minnesota |
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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:
- Madeline Anne Squires graduated from medical school in 2019
NPI Data:
- NPI Number: 1487307765
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 05/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234526328
- Enrollment ID: I20220419002461
Medical Identifiers
Medical identifiers for Madeline Anne Squires such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487307765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 28606 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 28606 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairview Express Care | 3375645179 | 1537 |
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. Madeline Anne Squires allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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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. Madeline Anne Squires 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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Madeline Anne Squires, LICSW
6725 4th Ave S,
Richfield, MN 55423-2423
Ph: (650) 224-2536 | Madeline Anne Squires, LICSW
3400 W 66th St Ste 400,
Edina, MN 55435-2134
Ph: (612) 672-6999 |
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