Amy M Hultgren, LICSW is a
Case Manager/care Coordinator based in Devils Lake, North Dakota. Amy M Hultgren is licensed to practice in North Dakota (license number ) and her current practice location is
200 Highway 2 W, Devils Lake, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 665-2200.
NPI number for Amy M Hultgren is 1578504643 and her current mailing address is Po Box 650, Devils Lake, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578504643.
Healthcare Provider's Profile
| Full Name | Amy M Hultgren |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 200 Highway 2 W, Devils Lake, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578504643
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Amy M Hultgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578504643 | NPI | - | NPPES |
| 054518 | Medicaid | ND | |
| 021497 | Other | ND | BCBS PIN |
| N21497 | Other | ND | RR MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 3019 (North Dakota) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (North Dakota) | Primary |
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. Amy M Hultgren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amy M Hultgren, LICSW
Po Box 650,
Devils Lake, ND 58301-0650
Ph: (701) 665-2200 | Amy M Hultgren, LICSW
200 Highway 2 W,
Devils Lake, ND 58301-3532
Ph: (701) 665-2200 |
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