Dasha Kotalik, LCSW, CACII is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Polaris Partners Counseling And Consulting Llc and her current practice location is
10500 Smith Rd, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 913-3789.
Dasha Kotalik is licensed to practice in Colorado (license number 09924253) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285086215.
Healthcare Provider's Profile
| Full Name | Dasha Kotalik |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 10500 Smith Rd, Denver, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dasha Kotalik graduated from medical school in 2013
NPI Data:
- NPI Number: 1285086215
- Provider Enumeration Date: 07/01/2016
- Last Update Date: 07/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153868765
- Enrollment ID: I20240731004277
Medical Identifiers
Medical identifiers for Dasha Kotalik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285086215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0007722 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 09924253 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Polaris Partners Counseling And Consulting Llc | 2769892538 | 5 |
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. Dasha Kotalik allows following entities to bill medicare on her behalf.
| Entity Name | Polaris Partners Counseling And Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780099028
PECOS PAC ID: 2769892538
Enrollment ID: O20201105002183 |
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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. Dasha Kotalik 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 |
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Dasha Kotalik, LCSW, CACII
Po Box 1108,
Denver, CO 80201-1108
Ph: () - | Dasha Kotalik, LCSW, CACII
10500 Smith Rd,
Denver, CO 80239-3232
Ph: (720) 913-3789 |
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