Sarah Woolard-raczka, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Connecticut. Her current practice location is
100 Riverview Ctr Ste 312, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 262-8681.
Sarah Woolard-raczka is licensed to practice in Connecticut (license number 008529) 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 1154163194.
Healthcare Provider's Profile
| Full Name | Sarah Woolard-raczka |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 100 Riverview Ctr Ste 312, Middletown, Connecticut |
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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: 1154163194
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880138825
- Enrollment ID: I20240701002491
Medical Identifiers
Medical identifiers for Sarah Woolard-raczka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154163194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000975 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 008529 (Connecticut) | 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. Sarah Woolard-raczka allows following entities to bill medicare on her behalf.
| Entity Name | Riverside Counseling And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205699535
PECOS PAC ID: 3173067113
Enrollment ID: O20240701002353 |
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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. Sarah Woolard-raczka 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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Sarah Woolard-raczka, LCSW, LADC
935 Chamberlain Hill Rd,
Middletown, CT 06457-5546
Ph: (860) 262-8681 | Sarah Woolard-raczka, LCSW, LADC
100 Riverview Ctr Ste 312,
Middletown, CT 06457-3447
Ph: (860) 262-8681 |
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