Ms Candice Rae Hogden, MS, LCPC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in La Crosse, Wisconsin. Her current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 782-7300.
Ms Candice Rae Hogden is licensed to practice in Wisconsin (license number 2243-123) 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 1780806539.
Healthcare Provider's Profile
| Full Name | Ms Candice Rae Hogden |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1836 South Ave, La Crosse, 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: 1780806539
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 03/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739574732
- Enrollment ID: I20220309001594
Medical Identifiers
Medical identifiers for Ms Candice Rae Hogden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780806539 | NPI | - | NPPES |
| 7230084 | Other | IL | AETNA |
| 236610 | Other | IL | VALUE OPTIONS |
| 357929 | Other | IL | MHN |
| 39281200 | Medicaid | WI | |
| 07232101 | Other | IL | BCBS |
| 103-515 | Other | IL | HEALTH ALLIANCE |
| 469922 | Other | IL | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 180-004984 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180-004984 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180-004984 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2243-123 (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. Ms Candice Rae Hogden allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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 Candice Rae Hogden 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 Candice Rae Hogden, MS, LCPC, LCSW
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Ms Candice Rae Hogden, MS, LCPC, LCSW
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 |
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