Ms Holly Rae Pagel, MSW is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, Wisconsin. Her current practice location is
1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 674-8108.
Ms Holly Rae Pagel is licensed to practice in Wisconsin (license number 7624-123) 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 1245569524.
Healthcare Provider's Profile
| Full Name | Ms Holly Rae Pagel |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1541 Annex Rd, Jefferson, 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: 1245569524
- Provider Enumeration Date: 12/15/2009
- Last Update Date: 08/20/2013
Medicare PECOS Information:
- PECOS PAC ID: 3779718184
- Enrollment ID: I20131021000042
Medical Identifiers
Medical identifiers for Ms Holly Rae Pagel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245569524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7624-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7624-123 (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 Holly Rae Pagel allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275614919
PECOS PAC ID: 2264496801
Enrollment ID: O20041115000371 |
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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 Holly Rae Pagel 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 Holly Rae Pagel, MSW
1541 Annex Rd,
Jefferson, WI 53549-9803
Ph: (920) 674-8108 | Ms Holly Rae Pagel, MSW
1541 Annex Rd,
Jefferson, WI 53549-9803
Ph: (920) 674-8108 |
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