Tiana Monique Fitzsimmons, LICSW in Saint Peter, MN

Tiana Monique Fitzsimmons, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Peter, Minnesota. Her current practice location is 1306 Marshall St, Saint Peter, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 931-8040.

Tiana Monique Fitzsimmons is licensed to practice in Minnesota (license number 20944) 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 1073014262.

Contact Information

	Tiana Monique Fitzsimmons, LICSW
	1306 Marshall St, Saint Peter, MN 56082-4500
	(507) 931-8040
	(507) 931-8060

Map and Direction

Healthcare Provider's Profile

Full Name	Tiana Monique Fitzsimmons
Gender	Female
Speciality	Social Worker - Clinical
Location	1306 Marshall St, Saint Peter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073014262
Provider Enumeration Date: 02/23/2018
Last Update Date: 05/03/2018

Medicare PECOS Information:

PECOS PAC ID: 9739500091
Enrollment ID: I20200522001677

Medical Identifiers

Medical identifiers for Tiana Monique Fitzsimmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073014262	NPI	-	NPPES
20944	Other	MN	LICSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20944 (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. Tiana Monique Fitzsimmons allows following entities to bill medicare on her behalf.

Entity Name	Counseling Services Of Southern Minnesota, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962557496 PECOS PAC ID: 5890696868 Enrollment ID: O20040114000466

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. Tiana Monique Fitzsimmons 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
Tiana Monique Fitzsimmons, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040	Tiana Monique Fitzsimmons, LICSW 1306 Marshall St, Saint Peter, MN 56082-4500 Ph: (507) 931-8040

Reviews and Comments

Social Worker in Saint Peter, MN

Brenda Todd-bense, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040
Michelle Olivia Olund Youngberg, LGSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1306 Marshall St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8040
Nicole Mariah Goettl Morales, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2373
Melanie Jean Wurtzberger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2686
Beth Leavitt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S 3rd St, Saint Peter, MN 56082 Phone: 507-931-8040 Fax: 507-931-8060
Rebecca Robinson-wargelin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2144

Tiana Monique Fitzsimmons, LICSW - Medicare Clinical Social Worker in Saint Peter, MN