Regina A Blackwolf, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Everett, Washington. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
12812 3rd Ave Se Ste A, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 375-7657.
Regina A Blackwolf is licensed to practice in Washington (license number LW60083962) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184777252.
Healthcare Provider's Profile
Full Name | Regina A Blackwolf |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 18 Years |
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Location | 12812 3rd Ave Se Ste A, Everett, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Regina A Blackwolf graduated from medical school in 2006
NPI Data:
- NPI Number: 1184777252
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325184922
- Enrollment ID: I20091013000411
Medical Identifiers
Medical identifiers for Regina A Blackwolf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184777252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00005962 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW60083962 (Washington) | 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. Regina A Blackwolf allows following entities to bill medicare on her behalf.
Entity Name | Approaching Authenticity Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811326804 PECOS PAC ID: 7113256090 Enrollment ID: O20190903002441 |
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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. Regina A Blackwolf 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 |
Regina A Blackwolf, MSW, LICSW 12812 3rd Ave Se Ste A, Everett, WA 98208-6455 Ph: (206) 375-7657 | Regina A Blackwolf, MSW, LICSW 12812 3rd Ave Se Ste A, Everett, WA 98208-6455 Ph: (206) 375-7657 |
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