Staci Sutherland, LMSW in Idaho Falls, ID - Medicare Social Worker Provider

Staci Sutherland, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Idaho Falls, Idaho. Her current practice location is 180 N Woodruff Ave, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 346-0688.

Staci Sutherland is licensed to practice in Idaho (license number 39337) 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 1477219061.

Contact Information

	Staci Sutherland, LMSW
	180 N Woodruff Ave, Idaho Falls, ID 83401-4335
	(208) 346-0688
	(208) 620-3027

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Sutherland
Gender	Female
Speciality	Social Worker - Clinical
Location	180 N Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477219061
Provider Enumeration Date: 11/09/2021
Last Update Date: 04/22/2022

Medicare PECOS Information:

PECOS PAC ID: 9032628557
Enrollment ID: I20250604003448

Medical Identifiers

Medical identifiers for Staci Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477219061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	39337 (Idaho)	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. Staci Sutherland allows following entities to bill medicare on her behalf.

Entity Name	Woodhouse Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811349293 PECOS PAC ID: 9739477738 Enrollment ID: O20161006001303

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. Staci Sutherland 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
Staci Sutherland, LMSW 180 N Woodruff Ave, Idaho Falls, ID 83401-4335 Ph: (208) 346-0688	Staci Sutherland, LMSW 180 N Woodruff Ave, Idaho Falls, ID 83401-4335 Ph: (208) 346-0688

Reviews and Comments

Social Worker in Idaho Falls, ID

Corene Peterson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205
Daniel James Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1070 Riverwalk Dr Ste 258, Idaho Falls, ID 83402 Phone: 208-219-7655
Mr. Nathan R Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-346-2363
Travis Aaron Dean, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1337 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-523-8978
Mr. Claigh H Jensen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 John Adams Pkwy, Suite 102, Idaho Falls, ID 83401 Phone: 208-529-5276 Fax: 208-529-6506
Jessica Marley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2420 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-1026 Fax: 208-528-2945
Elizabeth R Harding, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 661 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 801-655-5450 Fax: 385-225-9327

Staci Sutherland, LMSW - Medicare Clinical Social Worker in Idaho Falls, ID