Signe M Midelfort-hector, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Onalaska, Wisconsin. Her current practice location is
123 16th Ave S, Onalaska, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 775-2287.
Signe M Midelfort-hector is licensed to practice in Wisconsin (license number 11410) 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 1073203642.
Healthcare Provider's Profile
Full Name | Signe M Midelfort-hector |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 123 16th Ave S, Onalaska, Wisconsin |
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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: 1073203642
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254792955
- Enrollment ID: I20230727002337
Medical Identifiers
Medical identifiers for Signe M Midelfort-hector such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073203642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 29392 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 11410 (Wisconsin) | 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. Signe M Midelfort-hector allows following entities to bill medicare on her behalf.
Entity Name | St Croix Psychiatric Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
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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. Signe M Midelfort-hector 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 |
Signe M Midelfort-hector, LICSW 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Signe M Midelfort-hector, LICSW 123 16th Ave S, Onalaska, WI 54650-3109 Ph: (608) 775-2287 |
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