Kristina Lynn Carrera, MSW, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. Her current practice location is
2429 S Prairie Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 564-5070.
Kristina Lynn Carrera is licensed to practice in Colorado (license number CSW.09923606) 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 1992079925.
Healthcare Provider's Profile
| Full Name | Kristina Lynn Carrera |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2429 S Prairie Ave, Pueblo, Colorado |
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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: 1992079925
- Provider Enumeration Date: 03/08/2012
- Last Update Date: 09/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123248077
- Enrollment ID: I20140929000368
Medical Identifiers
Medical identifiers for Kristina Lynn Carrera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992079925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 1057 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923606 (Colorado) | 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. Kristina Lynn Carrera allows following entities to bill medicare on her behalf.
| Entity Name | Gateway To Success, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922348481
PECOS PAC ID: 3173885670
Enrollment ID: O20180321001712 |
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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. Kristina Lynn Carrera 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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Kristina Lynn Carrera, MSW, LCSW, LAC
220 Ruskin Drive,
Colorado Springs, CO 80910
Ph: (719) 572-6100 | Kristina Lynn Carrera, MSW, LCSW, LAC
2429 S Prairie Ave,
Pueblo, CO 81005-2886
Ph: (719) 564-5070 |
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