Brandon Pellaton, LICSW in Willmar, MN - Medicare Social Worker Provider

Brandon Pellaton, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Willmar, Minnesota. His current practice location is 513 5th St Sw, Willmar, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 214-9692.

Brandon Pellaton is licensed to practice in Minnesota (license number 21177) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689080707.

Contact Information

	Brandon Pellaton, LICSW
	513 5th St Sw, Willmar, MN 56201-3216
	(320) 214-9692
	(320) 214-9924

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Pellaton
Gender	Male
Speciality	Social Worker - Clinical
Location	513 5th St Sw, Willmar, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689080707
Provider Enumeration Date: 07/09/2014
Last Update Date: 07/09/2014

Medicare PECOS Information:

PECOS PAC ID: 7012292410
Enrollment ID: I20170328000188

Medical Identifiers

Medical identifiers for Brandon Pellaton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689080707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21177 (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. Brandon Pellaton allows following entities to bill medicare on his behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Brandon Pellaton 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
Brandon Pellaton, LICSW Po Box 1810, Willmar, MN 56201-1810 Ph: (320) 214-9692	Brandon Pellaton, LICSW 513 5th St Sw, Willmar, MN 56201-3216 Ph: (320) 214-9692

Reviews and Comments

Social Worker in Willmar, MN

Cheryl Block Hansen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Willmar, MN 56201 Phone: 320-235-7232
Jenna Prusa, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 5th St Sw, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924
Becca Warne, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613
Mr. Barry Leroy Evans, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140
Taylor Madsen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613
Mrs. Brenda Jean Hubers, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1604 1st St S, #225, Willmar, MN 56201 Phone: 320-905-4163
David Anthony Munson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9141

Brandon Pellaton, LICSW - Medicare Clinical Social Worker in Willmar, MN