Mary E Kurniawan, LICSW in Rapid City, SD - Medicare Clinical Social Worker Provider

Mary E Kurniawan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Rapid City, South Dakota. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Monument Health Rapid City Hospital Inc and her current practice location is 915 Mt View Rd, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 755-7300.

Mary E Kurniawan is licensed to practice in South Dakota (license number 3497) 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 1992242762.

Contact Information

	Mary E Kurniawan, LICSW
	915 Mt View Rd, Rapid City, SD 57702-3414
	(605) 755-7300
	(605) 755-0707

Map and Direction

Healthcare Provider's Profile

Full Name	Mary E Kurniawan
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	915 Mt View Rd, Rapid City, South Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary E Kurniawan graduated from medical school in 2008

NPI Data:

NPI Number: 1992242762
Provider Enumeration Date: 01/31/2017
Last Update Date: 04/24/2017

Medicare PECOS Information:

PECOS PAC ID: 8123303088
Enrollment ID: I20170316001463

Medical Identifiers

Medical identifiers for Mary E Kurniawan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992242762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3497 (South Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Monument Health Rapid City Hospital	Rapid city, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monument Health Rapid City Hospital Inc	6002729506	488

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. Mary E Kurniawan allows following entities to bill medicare on her behalf.

Entity Name	Monument Health Rapid City Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144

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. Mary E Kurniawan 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
Mary E Kurniawan, LICSW 353 Fairmont Blvd, Rapid City, SD 57701-7375 Ph: (605) 755-8110	Mary E Kurniawan, LICSW 915 Mt View Rd, Rapid City, SD 57702-3414 Ph: (605) 755-7300

Reviews and Comments

Social Worker in Rapid City, SD

Deanna Mundt Steckman, MSW, CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 918 5th St, Rapid City, SD 57701 Phone: 605-348-6086 Fax: 605-348-1050
Adriane Marie Mucheck-rooks, MSW-CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 Fairmont Blvd, Rapid City, SD 57701 Phone: 605-719-7190
Suzanne Darlene Greene, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 Mountain View Rd, Rapid City, SD 57702 Phone: 605-791-4665 Fax: 605-791-4666
Julia Grimshaw, MSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4447 S Canyon Rd Ste 6, Rapid City, SD 57702 Phone: 605-484-8424
Jolene Peterson, MSW LCSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2215 Fax: 605-355-2504
Mary Ann Fredrickson, LCSW-PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1601 Mount Rushmore Rd Ste 3, #202, Rapid City, SD 57701 Phone: 210-846-9037
Audra Hill, MSW/CSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 Middle Valley Dr, Rapid City, SD 57701 Phone: 605-381-0049

Mary E Kurniawan, LICSW - Medicare Clinical Social Worker in Rapid City, SD