Marci Kligmann, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Devils Lake, North Dakota. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifewise Associates Llc and her current practice location is
200 Highway 2 W, Devils Lake, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 665-2200.
Marci Kligmann is licensed to practice in North Dakota (license number 4717) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780906768.
Healthcare Provider's Profile
| Full Name | Marci Kligmann |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 200 Highway 2 W, Devils Lake, North Dakota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marci Kligmann graduated from medical school in 2009
NPI Data:
- NPI Number: 1780906768
- Provider Enumeration Date: 02/18/2010
- Last Update Date: 08/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981854429
- Enrollment ID: I20121018000717
Medical Identifiers
Medical identifiers for Marci Kligmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780906768 | NPI | - | NPPES |
| MH1413 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 955 (Alaska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4717 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lifewise Associates Llc | 2264784008 | 6 |
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. Marci Kligmann allows following entities to bill medicare on her behalf.
| Entity Name | Lake Region Human Service Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669411930
PECOS PAC ID: 8426941436
Enrollment ID: O20040204000457 |
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| Entity Name | Lifewise Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871088674
PECOS PAC ID: 2264784008
Enrollment ID: O20190625002236 |
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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. Marci Kligmann 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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Marci Kligmann, LICSW
Po Box 650, 200 Highway 2 West,
Devils Lake, ND 58301-0650
Ph: (701) 665-2200 | Marci Kligmann, LICSW
200 Highway 2 W,
Devils Lake, ND 58301-3532
Ph: (701) 665-2200 |
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