Kunga Norzom, LICSW in Roseville, MN - Medicare Social Worker Provider

Kunga Norzom, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Roseville, Minnesota. Her current practice location is 1611 County Road B W Ste 202, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 300-1112.

Kunga Norzom is licensed to practice in * (Not Available) (license number 20588) 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 1669166815.

Contact Information

	Kunga Norzom, LICSW
	1611 County Road B W Ste 202, Roseville, MN 55113-4053
	(651) 300-1112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kunga Norzom
Gender	Female
Speciality	Social Worker - Clinical
Location	1611 County Road B W Ste 202, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669166815
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1355882580
Enrollment ID: I20240916001488

Medical Identifiers

Medical identifiers for Kunga Norzom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669166815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20588 (* (Not Available))	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. Kunga Norzom allows following entities to bill medicare on her behalf.

Entity Name	Luminous Mind Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588015168 PECOS PAC ID: 3678816402 Enrollment ID: O20190520001183

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. Kunga Norzom 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
Kunga Norzom, LICSW 1611 County Road B W Ste 202, Roseville, MN 55113-4053 Ph: (651) 300-1112	Kunga Norzom, LICSW 1611 County Road B W Ste 202, Roseville, MN 55113-4053 Ph: (651) 300-1112

Reviews and Comments

Social Worker in Roseville, MN

Andrea Mccormick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W Ste 310, Roseville, MN 55113 Phone: 651-252-7755 Fax: 612-331-3520
Lisa M Borneman, DSW, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N Ste 512, Roseville, MN 55113 Phone: 651-690-6721
Jean Gregg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2233 Hamline Ave N Ste 435, Roseville, MN 55113 Phone: 651-216-1935
Errin Marie Musich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2277 Highway 36 W Ste 160, Roseville, MN 55113 Phone: 763-575-8086
Cimena Gordon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W, Suite 310, Roseville, MN 55113 Phone: 651-224-2172
Samantha Oren, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-210-4698
Laura Lyman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-525-9919 Fax: 763-486-4436

Kunga Norzom, LICSW - Medicare Clinical Social Worker in Roseville, MN