Kotatee Tamba, LICSW in Owatonna, MN - Medicare Clinical Social Worker Provider

Kotatee Tamba, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Owatonna, Minnesota. He went to University Of Minnesota Medical School and graduated in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Swenson Psychological Services, Llc and his current practice location is 631 N Cedar Ave, Owatonna, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 446-0431.

Kotatee Tamba is licensed to practice in Minnesota (license number 21317) 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 1366852972.

Contact Information

	Kotatee Tamba, LICSW
	631 N Cedar Ave, Owatonna, MN 55060-2323
	(507) 446-0431
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kotatee Tamba
Gender	Male
Speciality	Clinical Social Worker
Experience	13 Years
Location	631 N Cedar Ave, Owatonna, 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:

Kotatee Tamba attended and graduated from University Of Minnesota Medical School in 2011

NPI Data:

NPI Number: 1366852972
Provider Enumeration Date: 05/05/2014
Last Update Date: 05/05/2014

Medicare PECOS Information:

PECOS PAC ID: 5698007268
Enrollment ID: I20191031000918

Medical Identifiers

Medical identifiers for Kotatee Tamba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366852972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21317 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Swenson Psychological Services, Llc	9638200793	3

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. Kotatee Tamba allows following entities to bill medicare on his behalf.

Entity Name	Swenson Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740429307 PECOS PAC ID: 9638200793 Enrollment ID: O20100706000654

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. Kotatee Tamba 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
Kotatee Tamba, LICSW Po Box 977, Owatonna, MN 55060-0977 Ph: (507) 446-0431	Kotatee Tamba, LICSW 631 N Cedar Ave, Owatonna, MN 55060-2323 Ph: (507) 446-0431

Reviews and Comments

Social Worker in Owatonna, MN

Alan J O'malley-laursen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133
Katelin Swanson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2575 Harvest Ln, Owatonna, MN 55060 Phone: 507-446-0431
Barbara L Durbahn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133
Nicole Danielle Donelan-loeffler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 631 N Cedar Ave, Owatonna, MN 55060 Phone: 507-446-0431 Fax: 507-446-8014
Colleen Elaine Solberg, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 134 E Vine St Ste 202, Owatonna, MN 55060 Phone: 507-455-1302 Fax: 507-455-1264
Holly Christianson, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2575 Harvest Lane Nw, Owatonna, MN 55060 Phone: 507-446-0431
Mr. Scott J. Westbrock, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-446-1215

Kotatee Tamba, LICSW - Medicare Clinical Social Worker in Owatonna, MN