Caroline (kate) Gourley, LICSW in Maple Grove, MN - Medicare Clinical Social Worker Provider

Caroline (kate) Gourley, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Maple Grove, Minnesota. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is 13603 80th Cir N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 274-3120.

Caroline (kate) Gourley is licensed to practice in Minnesota (license number 19858) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336508951.

Contact Information

	Caroline (kate) Gourley, LICSW
	13603 80th Cir N, Maple Grove, MN 55369-8961
	(763) 274-3120
	(763) 274-3121

Map and Direction

Healthcare Provider's Profile

Full Name	Caroline (kate) Gourley
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	13603 80th Cir N, Maple Grove, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Caroline (kate) Gourley graduated from medical school in 2005

NPI Data:

NPI Number: 1336508951
Provider Enumeration Date: 02/11/2016
Last Update Date: 02/11/2016

Medicare PECOS Information:

PECOS PAC ID: 0749579837
Enrollment ID: I20160512001304

Medical Identifiers

Medical identifiers for Caroline (kate) Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336508951	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	19858 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nystrom And Associates Ltd	6406752492	309

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. Caroline (kate) Gourley allows following entities to bill medicare on her 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

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. Caroline (kate) Gourley 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
Caroline (kate) Gourley, LICSW 13603 80th Cir N, Maple Grove, MN 55369-8961 Ph: (763) 274-3120	Caroline (kate) Gourley, LICSW 13603 80th Cir N, Maple Grove, MN 55369-8961 Ph: (763) 274-3120

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
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
Dana Knight, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 Forestview Ln N, Maple Grove, MN 55369 Phone: 763-200-1466

Caroline (kate) Gourley, LICSW - Medicare Clinical Social Worker in Maple Grove, MN