Benjamin Dieffenbach, MSW, LICSW in White Bear Lake, MN - Medicare Clinical Social Worker Provider

Benjamin Dieffenbach, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in White Bear Lake, Minnesota. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Minnesota Center For Psychology, Llc and his current practice location is 2368 Joy Ave, White Bear Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 338-9435.

Benjamin Dieffenbach is licensed to practice in Minnesota (license number 22483) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1467809624.

Contact Information

	Benjamin Dieffenbach, MSW, LICSW
	2368 Joy Ave, White Bear Lake, MN 55110-7409
	(651) 338-9435
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin Dieffenbach
Gender	Male
Speciality	Clinical Social Worker
Experience	11 Years
Location	2368 Joy Ave, White Bear Lake, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Dieffenbach graduated from medical school in 2013

NPI Data:

NPI Number: 1467809624
Provider Enumeration Date: 05/18/2016
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0244520716
Enrollment ID: I20160613001319

Medical Identifiers

Medical identifiers for Benjamin Dieffenbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467809624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	22483 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minnesota Center For Psychology, Llc	2264583954	12

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. Benjamin Dieffenbach allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	Minnesota Center For Psychology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023258662 PECOS PAC ID: 2264583954 Enrollment ID: O20090618000654

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. Benjamin Dieffenbach 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
Benjamin Dieffenbach, MSW, LICSW 2368 Joy Ave, White Bear Lake, MN 55110-7409 Ph: (651) 338-9435	Benjamin Dieffenbach, MSW, LICSW 2368 Joy Ave, White Bear Lake, MN 55110-7409 Ph: (651) 338-9435

Reviews and Comments

Social Worker in White Bear Lake, MN

Connie Toavs, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335
Leanne Mairs, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 Sargent Ct N, White Bear Lake, MN 55110 Phone: 651-249-1750
Erin Ernestine Forsman, M.S.W., LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1280 N Birch Lake Blvd, White Bear Lake, MN 55110 Phone: 651-429-8544 Fax: 651-407-5301
Mrs. Dorothy Carmelite Enockson Sr., LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4901 Johnson Ave, White Bear Lake, MN 55110 Phone: 651-426-6374
Mr. Steven P Sawyer, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 White Bear Pkwy, Suite 2200, White Bear Lake, MN 55110 Phone: 612-590-3190
Mina Ingersol, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110 Phone: 651-429-0838
Melissa Pascoe, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4525 White Bear Pkwy Ste 119, White Bear Lake, MN 55110 Phone: 612-467-9212

Benjamin Dieffenbach, MSW, LICSW - Medicare Clinical Social Worker in White Bear Lake, MN