Ms Brooke Kathleen Benson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Otsego, Minnesota. Her current practice location is
9245 Quantrelle Ave Ne, Otsego, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 746-9492.
Ms Brooke Kathleen Benson is licensed to practice in * (Not Available) (license number ) 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 1407385008.
Healthcare Provider's Profile
Full Name | Ms Brooke Kathleen Benson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9245 Quantrelle Ave Ne, Otsego, 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: 1407385008
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517323355
- Enrollment ID: I20230519001891
Medical Identifiers
Medical identifiers for Ms Brooke Kathleen Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407385008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ms Brooke Kathleen Benson allows following entities to bill medicare on her behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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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. Ms Brooke Kathleen Benson 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 |
Ms Brooke Kathleen Benson, LICSW 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Ms Brooke Kathleen Benson, LICSW 9245 Quantrelle Ave Ne, Otsego, MN 55330-0168 Ph: (763) 746-9492 |
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