Marissa Michalke, LICSW, SUDP is a medicare enrolled "Social Worker - Clinical" provider in Gig Harbor, Washington. Her current practice location is
4411 Point Fosdick Dr Ste 307, Gig Harbor, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 851-3808.
Marissa Michalke is licensed to practice in Washington (license number LW60804511) 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 1366858219.
Healthcare Provider's Profile
Full Name | Marissa Michalke |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4411 Point Fosdick Dr Ste 307, Gig Harbor, Washington |
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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: 1366858219
- Provider Enumeration Date: 07/10/2014
- Last Update Date: 05/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921367681
- Enrollment ID: I20180125002769
Medical Identifiers
Medical identifiers for Marissa Michalke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366858219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60684686 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60804511 (Washington) | 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. Marissa Michalke allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
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Entity Name | Sound Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780774950 PECOS PAC ID: 1759282197 Enrollment ID: O20040119000053 |
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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. Marissa Michalke 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 |
Marissa Michalke, LICSW, SUDP 4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703 Ph: (253) 886-1366 | Marissa Michalke, LICSW, SUDP 4411 Point Fosdick Dr Ste 307, Gig Harbor, WA 98335-1703 Ph: (253) 851-3808 |
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