Muang Chiem Kistler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. Her current practice location is
131a Stony Cir Ste 500, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(559) 627-1490.
Muang Chiem Kistler is licensed to practice in California (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 1023368669.
Healthcare Provider's Profile
| Full Name | Muang Chiem Kistler |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 131a Stony Cir Ste 500, Santa Rosa, California |
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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: 1023368669
- Provider Enumeration Date: 09/11/2012
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022488204
- Enrollment ID: I20230130001572
Medical Identifiers
Medical identifiers for Muang Chiem Kistler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023368669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | 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. Muang Chiem Kistler allows following entities to bill medicare on her behalf.
| Entity Name | Perseverant Mind Therapy, A Lcsw Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598413403
PECOS PAC ID: 2365823184
Enrollment ID: O20220725002233 |
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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. Muang Chiem Kistler 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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Muang Chiem Kistler, LCSW
Po Box 7302,
Visalia, CA 93290-7302
Ph: () - | Muang Chiem Kistler, LCSW
131a Stony Cir Ste 500,
Santa Rosa, CA 95401-9600
Ph: (559) 627-1490 |
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