Tessa Matzen, PCSW is a medicare enrolled "Social Worker - Clinical" provider in Cheyenne, Wyoming. She graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1607 Capitol Ave Fl The2, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 630-4729.
Tessa Matzen is licensed to practice in * (Not Available) (license number LCSW-1130) 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 1447792593.
Healthcare Provider's Profile
| Full Name | Tessa Matzen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1607 Capitol Ave Fl The2, Cheyenne, Wyoming |
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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:
- Tessa Matzen graduated from medical school in 2016
NPI Data:
- NPI Number: 1447792593
- Provider Enumeration Date: 11/07/2016
- Last Update Date: 07/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527318856
- Enrollment ID: I20180907001847
Medical Identifiers
Medical identifiers for Tessa Matzen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447792593 | NPI | - | NPPES |
| LCSW-1130 | Other | WY | LICENSED CLINICAL SOCIAL WORKER |
| PCSW-685 | Other | WY | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | PCSW-685 (Wyoming) | Secondary |
| 104100000X | Social Worker | PCSW-685 (Wyoming) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-1130 (* (Not Available)) | 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. Tessa Matzen allows following entities to bill medicare on her behalf.
| Entity Name | Liv In-home Counseling & Care Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740604057
PECOS PAC ID: 5698992352
Enrollment ID: O20140804002438 |
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| Entity Name | Tessa Matzen, Lcsw Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891377164
PECOS PAC ID: 2466851845
Enrollment ID: O20210604002714 |
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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. Tessa Matzen 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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Tessa Matzen, PCSW
4989 N 3rd St,
Laramie, WY 82072-9548
Ph: (307) 745-8997 | Tessa Matzen, PCSW
1607 Capitol Ave Fl The2,
Cheyenne, WY 82001-4525
Ph: (307) 630-4729 |
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