Kristine Rister, LICSW, SUDP is a medicare enrolled "Social Worker - Clinical" provider in Longview, Washington. Her current practice location is
900 Fir St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 353-9422.
Kristine Rister is licensed to practice in Washington (license number SC61234578) 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 1568701530.
Healthcare Provider's Profile
| Full Name | Kristine Rister |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 900 Fir St, Longview, Washington |
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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: 1568701530
- Provider Enumeration Date: 02/11/2013
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456878024
- Enrollment ID: I20250507001164
Medical Identifiers
Medical identifiers for Kristine Rister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568701530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | SC61234578 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60145336 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61666844 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC61234578 (Washington) | 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. Kristine Rister allows following entities to bill medicare on her behalf.
| Entity Name | Cowlitz Indian Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740562909
PECOS PAC ID: 8820030133
Enrollment ID: O20050526000589 |
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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. Kristine Rister 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 |
|---|
Kristine Rister, LICSW, SUDP
Po Box 2429,
Longview, WA 98632-8486
Ph: (360) 353-9494 | Kristine Rister, LICSW, SUDP
900 Fir St,
Longview, WA 98632-2544
Ph: (360) 353-9422 |
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