Karli Dahl, MSW is a medicare enrolled "Social Worker" provider in St Louis Park, Minnesota. Her current practice location is
3525 Monterey Dr, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 993-6200.
Karli Dahl is licensed to practice in Minnesota (license number 28587) 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 1386194652.
Healthcare Provider's Profile
| Full Name | Karli Dahl |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 3525 Monterey Dr, St Louis Park, 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: 1386194652
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 01/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557753373
- Enrollment ID: I20220127001773
Medical Identifiers
Medical identifiers for Karli Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386194652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 28587 (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. Karli Dahl allows following entities to bill medicare on her behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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| Entity Name | Twin Cities Psychological Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487065660
PECOS PAC ID: 1759506637
Enrollment ID: O20140709001031 |
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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. Karli Dahl 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 |
|---|
Karli Dahl, MSW
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Karli Dahl, MSW
3525 Monterey Dr,
St Louis Park, MN 55416-5275
Ph: (952) 993-6200 |
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