Ms Brooke Kathleen Benson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Otsego, Minnesota. Her current practice location is
9245 Quantrelle Ave Ne, Otsego, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 746-9492.
Ms Brooke Kathleen Benson is licensed to practice in * (Not Available) (license number ) 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 1407385008.
Healthcare Provider's Profile
| Full Name | Ms Brooke Kathleen Benson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9245 Quantrelle Ave Ne, Otsego, 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: 1407385008
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517323355
- Enrollment ID: I20230519001891
Medical Identifiers
Medical identifiers for Ms Brooke Kathleen Benson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407385008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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. Ms Brooke Kathleen Benson 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 |
|---|
Ms Brooke Kathleen Benson, LICSW
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 628-9566 | Ms Brooke Kathleen Benson, LICSW
9245 Quantrelle Ave Ne,
Otsego, MN 55330-0168
Ph: (763) 746-9492 |
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