Ms Carrie Lynn Thompson Widmer, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Turtle Lake, North Dakota. Her current practice location is
416 Kundert St, Turtle Lake, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 448-9225.
Ms Carrie Lynn Thompson Widmer is licensed to practice in North Dakota (license number 4938) 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 1124450556.
Healthcare Provider's Profile
Full Name | Ms Carrie Lynn Thompson Widmer |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 416 Kundert St, Turtle Lake, North Dakota |
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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: 1124450556
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890154728
- Enrollment ID: I20230710002384
Medical Identifiers
Medical identifiers for Ms Carrie Lynn Thompson Widmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124450556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4938 (North Dakota) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
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 Carrie Lynn Thompson Widmer allows following entities to bill medicare on her behalf.
Entity Name | Northland Health Partners Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457435802 PECOS PAC ID: 1557270113 Enrollment ID: O20031106000411 |
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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 Carrie Lynn Thompson Widmer 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 Carrie Lynn Thompson Widmer, LCSW 416 Kundert St, Turtle Lake, ND 58575-4205 Ph: (701) 448-9225 | Ms Carrie Lynn Thompson Widmer, LCSW 416 Kundert St, Turtle Lake, ND 58575-4205 Ph: (701) 448-9225 |
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