Mr Phoenix Xavier Schmitz, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. His current practice location is
4123 E Lake St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 728-2061.
Mr Phoenix Xavier Schmitz is licensed to practice in Minnesota (license number 18121) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841484458.
Healthcare Provider's Profile
| Full Name | Mr Phoenix Xavier Schmitz |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4123 E Lake St, Minneapolis, 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: 1841484458
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032259122
- Enrollment ID: I20091222000102
Medical Identifiers
Medical identifiers for Mr Phoenix Xavier Schmitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841484458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW 20272 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6834 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60622688 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 18121 (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. Mr Phoenix Xavier Schmitz allows following entities to bill medicare on his behalf.
| Entity Name | Minneapolis Nature Based Therapy |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437817582
PECOS PAC ID: 3870987530
Enrollment ID: O20220223002636 |
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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. Mr Phoenix Xavier Schmitz 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 |
|---|
Mr Phoenix Xavier Schmitz, LICSW
4123 E Lake St,
Minneapolis, MN 55406-2255
Ph: (612) 728-2061 | Mr Phoenix Xavier Schmitz, LICSW
4123 E Lake St,
Minneapolis, MN 55406-2255
Ph: (612) 728-2061 |
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