Brenda L Owen, LAC, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Williston, North Dakota. Her current practice location is
1500 14th St W Ste 290, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 334-6242.
Brenda L Owen is licensed to practice in North Dakota (license number 4755) 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 1346542727.
Healthcare Provider's Profile
| Full Name | Brenda L Owen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1500 14th St W Ste 290, Williston, North Dakota |
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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: 1346542727
- Provider Enumeration Date: 11/17/2010
- Last Update Date: 02/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901020007
- Enrollment ID: I20140611000975
Medical Identifiers
Medical identifiers for Brenda L Owen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346542727 | NPI | - | NPPES |
| 1454696 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1613 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4755 (North Dakota) | 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. Brenda L Owen allows following entities to bill medicare on her behalf.
| Entity Name | Summit Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427593698
PECOS PAC ID: 1153603162
Enrollment ID: O20170127001347 |
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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. Brenda L Owen 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 |
|---|
Brenda L Owen, LAC, LICSW
1500 14th St W Ste 290,
Williston, ND 58801-4078
Ph: (701) 334-6242 | Brenda L Owen, LAC, LICSW
1500 14th St W Ste 290,
Williston, ND 58801-4078
Ph: (701) 334-6242 |
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