Angela Hasouris, in Maple Grove, MN - Medicare Social Worker Provider

Angela Hasouris, is a medicare enrolled "Social Worker" provider in Maple Grove, Minnesota. Her current practice location is 9600 Upland Ln N Ste 110, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-6200.

Angela Hasouris is licensed to practice in Minnesota (license number 31115) 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 1508634379.

Contact Information

	Angela Hasouris,
	9600 Upland Ln N Ste 110, Maple Grove, MN 55369-4499
	(952) 993-6200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Hasouris
Gender	Female
Speciality	Social Worker
Location	9600 Upland Ln N Ste 110, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508634379
Provider Enumeration Date: 12/12/2023
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0749713691
Enrollment ID: I20241030002407

Medical Identifiers

Medical identifiers for Angela Hasouris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508634379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	31115 (Minnesota)	Secondary
104100000X	Social Worker	31115 (Minnesota)	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. Angela Hasouris allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Emily Program P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

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. Angela Hasouris 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
Angela Hasouris, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Angela Hasouris, 9600 Upland Ln N Ste 110, Maple Grove, MN 55369-4499 Ph: (952) 993-6200

Reviews and Comments

Social Worker in Maple Grove, MN

Kathryn Schuster, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11280 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-7828 Fax: 763-400-7444
Amos Koukou, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Ms. Paula A Monson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6924 Xene Ln N, Maple Grove, MN 55311 Phone: 763-420-5903
Sarah Voeller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6493 Sycamore Ct N, Maple Grove, MN 55369 Phone: 612-217-2578
Anna Shkolnik Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 952-826-8404
Ms. Lynn Marie Marrs, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6347 Upland Ln N, Maple Grove, MN 55311 Phone: 612-202-9085 Fax: 763-422-8283
Ms. Sarah Baker Hussian, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 763-383-5800

Angela Hasouris, - Medicare Clinical Social Worker in Maple Grove, MN