Marcelle N Dodge, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Saint Croix Falls, Wisconsin. Her current practice location is
235 E State St, Saint Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 483-3221.
Marcelle N Dodge is licensed to practice in Wisconsin (license number 3040-123) 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 1184951782.
Healthcare Provider's Profile
| Full Name | Marcelle N Dodge |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 235 E State St, Saint Croix Falls, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184951782
- Provider Enumeration Date: 11/03/2009
- Last Update Date: 07/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 5193096998
- Enrollment ID: I20170811001150
Medical Identifiers
Medical identifiers for Marcelle N Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184951782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1232-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3040-123 (Wisconsin) | 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. Marcelle N Dodge allows following entities to bill medicare on her behalf.
| Entity Name | St. Croix Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
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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. Marcelle N Dodge 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 |
Marcelle N Dodge, LCSW, CSAC 235 State Street, St. Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | Marcelle N Dodge, LCSW, CSAC 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
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