Matthew R Christensen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pocatello, Idaho. His current practice location is
5230 W Moonlight Mine Rd., Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 351-3956.
Matthew R Christensen is licensed to practice in Idaho (license number LCSW-36921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013275544.
Healthcare Provider's Profile
| Full Name | Matthew R Christensen |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 5230 W Moonlight Mine Rd., Pocatello, Idaho |
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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: 1013275544
- Provider Enumeration Date: 05/03/2012
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042629255
- Enrollment ID: I20210429000289
Medical Identifiers
Medical identifiers for Matthew R Christensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013275544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCSW-36921 (Idaho) | Secondary |
| 104100000X | Social Worker | LMSW-32118 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-36921 (Idaho) | 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. Matthew R Christensen allows following entities to bill medicare on his behalf.
| Entity Name | Adolpho Enterprise Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932454642
PECOS PAC ID: 1254552581
Enrollment ID: O20141029001984 |
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| Entity Name | Idaho Falls Community Hospital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114481447
PECOS PAC ID: 9032441597
Enrollment ID: O20191217002564 |
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| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20210901001048 |
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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. Matthew R Christensen 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 |
|---|
Matthew R Christensen, LCSW
Po Box 4908,
Pocatello, ID 83205-4908
Ph: (208) 236-1600 | Matthew R Christensen, LCSW
5230 W Moonlight Mine Rd.,
Pocatello, ID 83201-8320
Ph: (208) 351-3956 |
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