Dayne Marcus Bartlett, MSW, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Northfield, Minnesota. His current practice location is
1211 Winona St, Northfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 382-8188.
Dayne Marcus Bartlett is licensed to practice in Minnesota (license number 26497) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457950503.
Healthcare Provider's Profile
| Full Name | Dayne Marcus Bartlett |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1211 Winona St, Northfield, Minnesota |
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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: 1457950503
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 07/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527474501
- Enrollment ID: I20210317002196
Medical Identifiers
Medical identifiers for Dayne Marcus Bartlett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457950503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304138 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 26497 (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. Dayne Marcus Bartlett allows following entities to bill medicare on his behalf.
| Entity Name | Minnesota Center For Psychology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023258662
PECOS PAC ID: 2264583954
Enrollment ID: O20090618000654 |
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| Entity Name | Create Meaning Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275371510
PECOS PAC ID: 7315456621
Enrollment ID: O20250529003343 |
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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. Dayne Marcus Bartlett 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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Dayne Marcus Bartlett, MSW, LICSW, LADC
1211 Winona St,
Northfield, MN 55057-2830
Ph: (507) 382-8188 | Dayne Marcus Bartlett, MSW, LICSW, LADC
1211 Winona St,
Northfield, MN 55057-2830
Ph: (507) 382-8188 |
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