Ms Carin M Mizera, DSW LICSW is a medicare enrolled "Social Worker - Clinical" provider in Duluth, Minnesota. Her current practice location is
205 W 2nd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(615) 631-7543.
Ms Carin M Mizera is licensed to practice in Minnesota (license number 25089) 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 1205904521.
Healthcare Provider's Profile
| Full Name | Ms Carin M Mizera |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 205 W 2nd St, Duluth, Minnesota |
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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: 1205904521
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264442565
- Enrollment ID: I20171009003460
Medical Identifiers
Medical identifiers for Ms Carin M Mizera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205904521 | NPI | - | NPPES |
| 40957200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12677131 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6986123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5075 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 25089 (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. Ms Carin M Mizera allows following entities to bill medicare on her behalf.
| Entity Name | Inner Wisdom Psychotherapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497111686
PECOS PAC ID: 9739485681
Enrollment ID: O20160302002907 |
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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 Carin M Mizera 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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Ms Carin M Mizera, DSW LICSW
205 W 2nd St,
Duluth, MN 55802-1928
Ph: (615) 631-7543 | Ms Carin M Mizera, DSW LICSW
205 W 2nd St,
Duluth, MN 55802-1928
Ph: (615) 631-7543 |
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