Samantha Louise Yerks, LICSW LGSW is a medicare enrolled "Social Worker - Clinical" provider in White Bear Lk, Minnesota. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Introspect Mental Health Llc and her current practice location is
4801 Highway 61 N Ste 204, White Bear Lk, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 465-6700.
Samantha Louise Yerks is licensed to practice in Minnesota (license number 22117) 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 1336374750.
Healthcare Provider's Profile
| Full Name | Samantha Louise Yerks |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 4801 Highway 61 N Ste 204, White Bear Lk, Minnesota |
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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. |
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Medical Education and Training:
- Samantha Louise Yerks graduated from medical school in 2013
NPI Data:
- NPI Number: 1336374750
- Provider Enumeration Date: 05/29/2009
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375875446
- Enrollment ID: I20210730002191
Medical Identifiers
Medical identifiers for Samantha Louise Yerks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336374750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 302641 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 22117 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Introspect Mental Health Llc | 9931502796 | 2 |
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. Samantha Louise Yerks allows following entities to bill medicare on her behalf.
| Entity Name | Introspect Mental Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184273666
PECOS PAC ID: 9931502796
Enrollment ID: O20210730002128 |
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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. Samantha Louise Yerks 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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Samantha Louise Yerks, LICSW LGSW
22130 Typo Creek Dr Ne,
Wyoming, MN 55092-4602
Ph: (651) 271-8970 | Samantha Louise Yerks, LICSW LGSW
4801 Highway 61 N Ste 204,
White Bear Lk, MN 55110-2752
Ph: (763) 465-6700 |
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