Elizabeth Samuel, LICSW in Eden Prairie, MN - Medicare Social Worker Provider

Elizabeth Samuel, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Eden Prairie, Minnesota. Her current practice location is 6442 City West Pkwy Ste 200, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 318-2788.

Elizabeth Samuel is licensed to practice in Wisconsin (license number 11880-123) 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 1164281713.

Contact Information

	Elizabeth Samuel, LICSW
	6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-2809
	(763) 318-2788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Samuel
Gender	Female
Speciality	Social Worker - Clinical
Location	6442 City West Pkwy Ste 200, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164281713
Provider Enumeration Date: 03/18/2024
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3779012612
Enrollment ID: I20250122002885

Medical Identifiers

Medical identifiers for Elizabeth Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164281713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29063 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	11880-123 (Wisconsin)	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. Elizabeth Samuel allows following entities to bill medicare on her behalf.

Entity Name	Rogers Memorial Hospital Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053329581 PECOS PAC ID: 3476455809 Enrollment ID: O20040124000371

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. Elizabeth Samuel 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
Elizabeth Samuel, LICSW 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-2809 Ph: () -	Elizabeth Samuel, LICSW 6442 City West Pkwy Ste 200, Eden Prairie, MN 55344-2809 Ph: (763) 318-2788

Reviews and Comments

Social Worker in Eden Prairie, MN

Susan Kay Cromwell, MSW LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9531 W 78th St Ste 145, Eden Prairie, MN 55344 Phone: 651-268-0751 Fax: 952-943-9750
Safiya Ali Sheikh-mohamed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7550 Market Place Dr Ste 3, Eden Prairie, MN 55344 Phone: 651-299-0044
Reashondra Walker, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Equitable Dr, Eden Prairie, MN 55344 Phone: 932-395-6959
Susan M Saunders, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8455 Flying Cloud Dr, Park Nicollet Clinic - Prairie Center Ste 200, Eden Prairie, MN 55344 Phone: 952-993-7400 Fax: 952-993-7430
Jianna Lemaire, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Equitable Dr, Eden Prairie, MN 55344 Phone: 651-504-4297
Mr. Joshua Tucker, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522

Elizabeth Samuel, LICSW - Medicare Clinical Social Worker in Eden Prairie, MN