Mrs Elizabeth Ann Ibsen, MA, MSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, Connecticut. Her current practice location is
935 Main St, Suite 303, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 645-4901.
Mrs Elizabeth Ann Ibsen is licensed to practice in Connecticut (license number 002476) 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 1831433838.
Healthcare Provider's Profile
Full Name | Mrs Elizabeth Ann Ibsen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 935 Main St, Manchester, Connecticut |
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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: 1831433838
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 11/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 3678943925
- Enrollment ID: I20221230001320
Medical Identifiers
Medical identifiers for Mrs Elizabeth Ann Ibsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831433838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000425 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 002476 (Connecticut) | 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. Mrs Elizabeth Ann Ibsen allows following entities to bill medicare on her behalf.
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: O20200330002193 |
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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. Mrs Elizabeth Ann Ibsen 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 |
Mrs Elizabeth Ann Ibsen, MA, MSW 935 Main St, Suite 303, Manchester, CT 06040-6059 Ph: (860) 645-4901 | Mrs Elizabeth Ann Ibsen, MA, MSW 935 Main St, Suite 303, Manchester, CT 06040-6059 Ph: (860) 645-4901 |
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