Kayleen Rae Vieburg, LICSW in Mankato, MN - Medicare Social Worker Provider

Kayleen Rae Vieburg, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Mankato, Minnesota. Her current practice location is 11 Civic Center Plz Ste 205, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (073) 454-6795.

Kayleen Rae Vieburg is licensed to practice in Minnesota (license number 28654) 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 1417668153.

Contact Information

	Kayleen Rae Vieburg, LICSW
	11 Civic Center Plz Ste 205, Mankato, MN 56001-7718
	(073) 454-6795
	(507) 345-8685

Map and Direction

Healthcare Provider's Profile

Full Name	Kayleen Rae Vieburg
Gender	Female
Speciality	Social Worker - Clinical
Location	11 Civic Center Plz Ste 205, Mankato, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417668153
Provider Enumeration Date: 12/13/2022
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 9133593882
Enrollment ID: I20230320000869

Medical Identifiers

Medical identifiers for Kayleen Rae Vieburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417668153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28654 (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. Kayleen Rae Vieburg allows following entities to bill medicare on her behalf.

Entity Name	Addictions And Stress Clinics Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376820118 PECOS PAC ID: 3476790296 Enrollment ID: O20130515000172

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. Kayleen Rae Vieburg 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
Kayleen Rae Vieburg, LICSW 11 Civic Center Plz Ste 205, Mankato, MN 56001-7718 Ph: (507) 345-4679	Kayleen Rae Vieburg, LICSW 11 Civic Center Plz Ste 205, Mankato, MN 56001-7718 Ph: (073) 454-6795

Reviews and Comments

Social Worker in Mankato, MN

Lacy Osborne, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Warren St # 324, Mankato, MN 56001 Phone: 507-227-4858 Fax: 507-519-2271
Michele J. Larson, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Serra St, Mankato, MN 56001 Phone: 608-577-5742
Nancy Altmann, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 322, Mankato, MN 56001 Phone: 507-702-3030
Tammy M Gagnon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Civic Center Plz Ste 1615, Mankato, MN 56001 Phone: 507-345-4679 Fax: 507-345-8685
Anna Marie Johanson, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195
Katelin Michelle Farmer, LICSW, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Warren St Ste 324, Mankato, MN 56001 Phone: 507-344-3124 Fax: 507-519-2271
Nicole Kristina Lidstrom, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-2468

Kayleen Rae Vieburg, LICSW - Medicare Clinical Social Worker in Mankato, MN