Annaliese Elizabeth Pelletier, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coeur D Alene, Idaho. Her current practice location is
1270 N Northwood Center Ct, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 664-8347.
Annaliese Elizabeth Pelletier is licensed to practice in Idaho (license number LMSW-43290) 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 1891264297.
Healthcare Provider's Profile
| Full Name | Annaliese Elizabeth Pelletier |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1270 N Northwood Center Ct, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891264297
- Provider Enumeration Date: 11/15/2018
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022555689
- Enrollment ID: I20240801001163
Medical Identifiers
Medical identifiers for Annaliese Elizabeth Pelletier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891264297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | LMSW-43290 (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. Annaliese Elizabeth Pelletier allows following entities to bill medicare on her behalf.
| Entity Name | Dirne Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686477
PECOS PAC ID: 2466353354
Enrollment ID: O20050303001041 |
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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. Annaliese Elizabeth Pelletier 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 |
|---|
Annaliese Elizabeth Pelletier, LCSW
Po Box 1387,
Hayden, ID 83835-1387
Ph: (208) 415-0299 | Annaliese Elizabeth Pelletier, LCSW
1270 N Northwood Center Ct,
Coeur D Alene, ID 83814-2664
Ph: (208) 664-8347 |
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