Sandra Jane Laski, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is
2867 James Ave S. Suite 4, 305, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 202-0535.
Sandra Jane Laski is licensed to practice in Minnesota (license number 18622) 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 1154624245.
Healthcare Provider's Profile
Full Name | Sandra Jane Laski |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2867 James Ave S. Suite 4, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154624245
- Provider Enumeration Date: 12/10/2010
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901101765
- Enrollment ID: I20160217000196
Medical Identifiers
Medical identifiers for Sandra Jane Laski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154624245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302638 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 18622 (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. Sandra Jane Laski allows following entities to bill medicare on her behalf.
Entity Name | Laski Mental Wellness & Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003341801 PECOS PAC ID: 8123387354 Enrollment ID: O20180117000087 |
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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. Sandra Jane Laski 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 |
Sandra Jane Laski, LICSW 2867 James Ave S Apt 4, Minneapolis, MN 55408-1890 Ph: (612) 202-0535 | Sandra Jane Laski, LICSW 2867 James Ave S. Suite 4, 305, Minneapolis, MN 55408-5540 Ph: (612) 202-0535 |
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