Mamie Tisue, LCSW in Salida, CO - Medicare Social Worker Provider

Mamie Tisue, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salida, Colorado. Her current practice location is 134 F St Ste 201, Salida, Colorado. You can reach out to her office (for appointments etc.) via phone at (309) 236-3254.

Mamie Tisue is licensed to practice in Colorado (license number CSW.09924968) 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 1700351905.

Contact Information

	Mamie Tisue, LCSW
	134 F St Ste 201, Salida, CO 81201-2160
	(309) 236-3254
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mamie Tisue
Gender	Female
Speciality	Social Worker - Clinical
Location	134 F St Ste 201, Salida, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700351905
Provider Enumeration Date: 10/04/2018
Last Update Date: 12/11/2024

Medicare PECOS Information:

PECOS PAC ID: 8628314770
Enrollment ID: I20210719000325

Medical Identifiers

Medical identifiers for Mamie Tisue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700351905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09924968 (Colorado)	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. Mamie Tisue allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Center Of Denver
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396566444 PECOS PAC ID: 3476440314 Enrollment ID: O20040303001271

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. Mamie Tisue 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
Mamie Tisue, LCSW Po Box 1355, Salida, CO 81201-1355 Ph: (309) 236-3254	Mamie Tisue, LCSW 134 F St Ste 201, Salida, CO 81201-2160 Ph: (309) 236-3254

Reviews and Comments

Social Worker in Salida, CO

Maryann Kuzio Longwell, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1548 G St, 2a, Salida, CO 81201 Phone: 719-329-4810
Ms. Elizabeth Durham Floyde, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 G St Ste 8, Salida, CO 81201 Phone: 719-717-9009 Fax: 719-717-9009
Steven M Farmer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Vesta Rd, Salida, CO 81201 Phone: 719-539-6502
Sara Papathakis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 E Hwy 50, Salida, CO 81201 Phone: 719-398-1167
Sarah Rasmussen, SWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8990 County Road 165, Salida, CO 81201 Phone: 719-285-9385 Fax: 719-239-3914
Sarah Briggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Vesta Rd, Salida, CO 81201 Phone: 719-275-2351 Fax: 719-269-9386

Mamie Tisue, LCSW - Medicare Clinical Social Worker in Salida, CO