Michelle R Mandell-paulson, LICSW in Champlin, MN - Medicare Social Worker Provider

Michelle R Mandell-paulson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Champlin, Minnesota. Her current practice location is 11165 Zealand Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 531-0566.

Michelle R Mandell-paulson is licensed to practice in Minnesota (license number 13758) 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 1912425158.

Contact Information

	Michelle R Mandell-paulson, LICSW
	11165 Zealand Ave N, Champlin, MN 55316-3595
	(763) 531-0566
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle R Mandell-paulson
Gender	Female
Speciality	Social Worker - Clinical
Location	11165 Zealand Ave N, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912425158
Provider Enumeration Date: 09/08/2017
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6608268677
Enrollment ID: I20220125001495

Medical Identifiers

Medical identifiers for Michelle R Mandell-paulson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912425158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13758 (Minnesota)	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. Michelle R Mandell-paulson allows following entities to bill medicare on her behalf.

Entity Name	North Psychology Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265462212 PECOS PAC ID: 3870545668 Enrollment ID: O20050221000501

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. Michelle R Mandell-paulson 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
Michelle R Mandell-paulson, LICSW 11165 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 531-0566	Michelle R Mandell-paulson, LICSW 11165 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 531-0566

Reviews and Comments

Social Worker in Champlin, MN

Lindsey Nicole Job, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600
Jessica Ladner, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-324, Champlin, MN 55316 Phone: 763-260-5730 Fax: 763-220-3738
Mr. Christopher David Emery, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-442-8101 Fax: 763-951-3097
Mrs. Song Lor Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11205 Virginia Ave N, Champlin, MN 55316 Phone: 763-315-1401 Fax: 763-315-1401
Ms. Kimberly Lynne Sobon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7914 113th Ave N, Champlin, MN 55316 Phone: 612-483-6452
Maita Yang, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11468 Marketplace Dr N Ste 600-1267, Champlin, MN 55316 Phone: 763-267-2520

Michelle R Mandell-paulson, LICSW - Medicare Clinical Social Worker in Champlin, MN