Mr Carl Christian Hertenstein, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Mary, Florida. His current practice location is
3256 W Lake Mary Blvd, Suite 1100, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 416-5611.
Mr Carl Christian Hertenstein is licensed to practice in Florida (license number SW 2941) 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 1841477262.
Healthcare Provider's Profile
| Full Name | Mr Carl Christian Hertenstein |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3256 W Lake Mary Blvd, Lake Mary, Florida |
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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: 1841477262
- Provider Enumeration Date: 01/28/2008
- Last Update Date: 10/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 8921177023
- Enrollment ID: I20231212001246
Medical Identifiers
Medical identifiers for Mr Carl Christian Hertenstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841477262 | NPI | - | NPPES |
| 104100000X | Other | FL | TAXONOMY CODE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SW 2941 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW 2941 (Florida) | Secondary |
| 101YP1600X | Counselor - Pastoral | SW 2941 (Florida) | Secondary |
| 101YP2500X | Counselor - Professional | SW 2941 (Florida) | Secondary |
| 104100000X | Social Worker | SW 2941 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW 2941 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | SW 2941 (Florida) | Secondary |
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. Mr Carl Christian Hertenstein allows following entities to bill medicare on his behalf.
| Entity Name | Senior Care Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285898098
PECOS PAC ID: 0547335366
Enrollment ID: O20080813000563 |
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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. Mr Carl Christian Hertenstein 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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Mr Carl Christian Hertenstein, LCSW
107 Brandiwood Ct,
Debary, FL 32713-2242
Ph: (386) 490-5745 | Mr Carl Christian Hertenstein, LCSW
3256 W Lake Mary Blvd, Suite 1100,
Lake Mary, FL 32746
Ph: (407) 416-5611 |
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