Lacey Hammond, - Medicare Clinical Social Worker in Forest Lake, MN

Lacey Hammond, is a medicare enrolled "Social Worker - Clinical" provider in Forest Lake, Minnesota. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice River Valley Behavioral Health And Wellness Center, Llc, Canvas Health Inc and her current practice location is 121 11th Ave Se, Forest Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 777-5222.

Lacey Hammond is licensed to practice in Minnesota (license number 22081) 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 1720461064.

Contact Information

Lacey Hammond,
121 11th Ave Se,
Forest Lake, MN 55025-1850
(651) 777-5222
(651) 251-5279

Map and Direction




Healthcare Provider's Profile

Full NameLacey Hammond
GenderFemale
SpecialityClinical Social Worker
Experience12 Years
Location121 11th Ave Se, Forest Lake, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lacey Hammond graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1720461064
  • Provider Enumeration Date: 07/06/2015
  • Last Update Date: 07/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608181086
  • Enrollment ID: I20150813011110

Medical Identifiers

Medical identifiers for Lacey Hammond such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720461064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 22081 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
River Valley Behavioral Health And Wellness Center, Llc36786250356
Canvas Health Inc872907397822

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. Lacey Hammond allows following entities to bill medicare on her behalf.
Entity NameCanvas Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922051325
PECOS PAC ID: 8729073978
Enrollment ID: O20040416001178
Entity NameRiver Valley Behavioral Health & Wellness Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316197148
PECOS PAC ID: 3678625035
Enrollment ID: O20090715000482

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. Lacey Hammond 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 AddressPractice Location Address
Lacey Hammond,
121 11th Ave Se,
Forest Lake, MN 55025-1850

Ph: (651) 777-5222
Lacey Hammond,
121 11th Ave Se,
Forest Lake, MN 55025-1850

Ph: (651) 777-5222

Reviews and Comments


Social Worker in Forest Lake, MN

Erica Rae Cournoyer,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 18323 July Ave N, Forest Lake, MN 55025
Phone: 651-329-9476    
Mai Khou Yang, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 708 W Broadway Ave Ste A, Forest Lake, MN 55025
Phone: 651-408-5154    
Susan Kreulen, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 20 Lake St N, Suite 210, Forest Lake, MN 55025
Phone: 612-672-1514    Fax: 651-464-4847
Adrienne M Kovar, LICSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 1068 Lake St S, Ste 109, Forest Lake, MN 55025
Phone: 651-982-4792    Fax: 651-982-6035
Cassie Nieman, M.A.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 555 W Broadway Ave, Suites 2 And 3, Forest Lake, MN 55025
Phone: 651-251-5226    Fax: 651-251-5279
Ms. Elizabeth Anne Mcinerney, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 882 Sw 15th Avenue, Forest Lake, MN 55025
Phone: 651-464-2194    
Gary Goolsbee, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 121 11th Ave Se, Forest Lake, MN 55025
Phone: 651-251-5220    Fax: 651-251-5279

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.