Susannah R King, MSW, LICSW in Minneapolis, MN - Medicare Social Worker Provider

Susannah R King, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 525 Portland Ave, Mc 963, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 990-4502.

Susannah R King is licensed to practice in Minnesota (license number 21850) 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 1639534761.

Contact Information

	Susannah R King, MSW, LICSW
	525 Portland Ave, Mc 963, Minneapolis, MN 55415-1533
	(612) 990-4502
	(612) 596-9641

Map and Direction

Healthcare Provider's Profile

Full Name	Susannah R King
Gender	Female
Speciality	Social Worker - Clinical
Location	525 Portland Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639534761
Provider Enumeration Date: 12/16/2015
Last Update Date: 12/16/2015

Medicare PECOS Information:

PECOS PAC ID: 6608166012
Enrollment ID: I20160526000067

Medical Identifiers

Medical identifiers for Susannah R King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639534761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21850 (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. Susannah R King allows following entities to bill medicare on her behalf.

Entity Name	Hennepin County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012

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. Susannah R King 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
Susannah R King, MSW, LICSW 525 Portland Ave, Mc 963, Minneapolis, MN 55415-1533 Ph: (612) 990-4502	Susannah R King, MSW, LICSW 525 Portland Ave, Mc 963, Minneapolis, MN 55415-1533 Ph: (612) 990-4502

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Susannah R King, MSW, LICSW - Medicare Clinical Social Worker in Minneapolis, MN