Mrs Jade Matraca Blaser, MSW, LADC, LGSW is a medicare enrolled "Social Worker - Clinical" provider in Elk River, Minnesota. Her current practice location is
1230 School St Nw, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 241-3558.
Mrs Jade Matraca Blaser is licensed to practice in Minnesota (license number 28295) 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 1316574866.
Healthcare Provider's Profile
Full Name | Mrs Jade Matraca Blaser |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1230 School St Nw, Elk River, Minnesota |
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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: 1316574866
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 03/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759736457
- Enrollment ID: I20231016002922
Medical Identifiers
Medical identifiers for Mrs Jade Matraca Blaser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316574866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303984 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 28295 (Minnesota) | 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 Jade Matraca Blaser allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
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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. Mrs Jade Matraca Blaser 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 Jade Matraca Blaser, MSW, LADC, LGSW 23299 Ivywood St Nw, Saint Francis, MN 55070-8742 Ph: (763) 226-9781 | Mrs Jade Matraca Blaser, MSW, LADC, LGSW 1230 School St Nw, Elk River, MN 55330-2422 Ph: (763) 241-3558 |
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