Sandie Leistiko, MSW, MHP is a medicare enrolled "Social Worker - Clinical" provider in Kent, Washington. She graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pacmed Clinics and her current practice location is
1404 Central Ave S, Suite 113, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 876-7620.
Sandie Leistiko is licensed to practice in Washington (license number LW60073152) 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 1336201730.
Healthcare Provider's Profile
| Full Name | Sandie Leistiko |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 1404 Central Ave S, Kent, 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. |
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Medical Education and Training:
- Sandie Leistiko graduated from medical school in 2004
NPI Data:
- NPI Number: 1336201730
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789717166
- Enrollment ID: I20100805000627
Medical Identifiers
Medical identifiers for Sandie Leistiko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336201730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | RC00042775 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60073152 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pacmed Clinics | 2466350657 | 181 |
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. Sandie Leistiko allows following entities to bill medicare on her behalf.
| Entity Name | Pacmed Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013061217
PECOS PAC ID: 2466350657
Enrollment ID: O20031226000033 |
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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. Sandie Leistiko 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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Sandie Leistiko, MSW, MHP
1600 E Olive St, Seattle Mental Health,
Seattle, WA 98122-2735
Ph: (206) 302-2200 | Sandie Leistiko, MSW, MHP
1404 Central Ave S, Suite 113,
Kent, WA 98032-7433
Ph: (253) 876-7620 |
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