Renee L Sandvik, is a medicare enrolled "Social Worker" provider in Brooklyn Center, Minnesota. Her current practice location is
6040 Earle Brown Dr, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 313-8080.
Renee L Sandvik is licensed to practice in Minnesota (license number 11669) 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 1649441304.
Healthcare Provider's Profile
| Full Name | Renee L Sandvik |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 6040 Earle Brown Dr, Brooklyn Center, 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: 1649441304
- Provider Enumeration Date: 03/20/2008
- Last Update Date: 09/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315248846
- Enrollment ID: I20200814001949
Medical Identifiers
Medical identifiers for Renee L Sandvik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649441304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1571 (North Dakota) | Secondary |
| 104100000X | Social Worker | 4633 (North Dakota) | Secondary |
| 104100000X | Social Worker | 11669 (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. Renee L Sandvik allows following entities to bill medicare on her behalf.
| Entity Name | Ellie Family Services Pllp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740664150
PECOS PAC ID: 8325309669
Enrollment ID: O20180228001972 |
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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. Renee L Sandvik 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 |
|---|
Renee L Sandvik,
1370 Mendota Heights Rd,
Mendota Heights, MN 55120-1281
Ph: (651) 313-8080 | Renee L Sandvik,
6040 Earle Brown Dr,
Brooklyn Center, MN 55430-2514
Ph: (651) 313-8080 |
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