Colleen Nusbaum, LCSW, CDCI is a medicare enrolled "Social Worker - Clinical" provider in Soldotna, Alaska. Her current practice location is
245 N Binkley St Ste 200, Soldotna, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 714-4521.
Colleen Nusbaum is licensed to practice in Alaska (license number 1290) 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 1295996858.
Healthcare Provider's Profile
| Full Name | Colleen Nusbaum |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 245 N Binkley St Ste 200, Soldotna, Alaska |
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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: 1295996858
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 05/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092946988
- Enrollment ID: I20140317001994
Medical Identifiers
Medical identifiers for Colleen Nusbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295996858 | NPI | - | NPPES |
| CMG675 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4053 (Alaska) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1290 (Alaska) | 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. Colleen Nusbaum allows following entities to bill medicare on her behalf.
| Entity Name | Kenaitze Indian Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932114600
PECOS PAC ID: 4082506225
Enrollment ID: O20040325000198 |
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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. Colleen Nusbaum 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 |
|---|
Colleen Nusbaum, LCSW, CDCI
245 N Binkley St Ste 200,
Soldotna, AK 99669-7500
Ph: (907) 714-4521 | Colleen Nusbaum, LCSW, CDCI
245 N Binkley St Ste 200,
Soldotna, AK 99669-7500
Ph: (907) 714-4521 |
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