Karla J Degarmo-haakenson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Beloit, Wisconsin. Her current practice location is
2825 Prairie Ave, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 368-3320.
Karla J Degarmo-haakenson is licensed to practice in Wisconsin (license number 1535-123) 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 1427024678.
Healthcare Provider's Profile
| Full Name | Karla J Degarmo-haakenson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2825 Prairie Ave, Beloit, Wisconsin |
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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: 1427024678
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173772613
- Enrollment ID: I20120927000395
Medical Identifiers
Medical identifiers for Karla J Degarmo-haakenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427024678 | NPI | - | NPPES |
| 40913800 | Medicaid | WI | |
| HAAKEKAR-MO | Other | WI | MERCYCARE INSURANCE |
| 1427024678 | Other | WI | BCBSWI |
| 1427024678 | Medicaid | WI | |
| 84908-0054 | Other | WI | WI MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1535-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1535-123 (Wisconsin) | 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. Karla J Degarmo-haakenson allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164 |
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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. Karla J Degarmo-haakenson 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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Karla J Degarmo-haakenson, LCSW
2825 Prairie Ave,
Beloit, WI 53511-1844
Ph: (608) 368-3320 | Karla J Degarmo-haakenson, LCSW
2825 Prairie Ave,
Beloit, WI 53511-1844
Ph: (608) 368-3320 |
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