Ms Charlesetta Rolack, LICSW in Saint Paul, MN - Medicare Clinical Social Worker Provider

Ms Charlesetta Rolack, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Saint Paul, Minnesota. She graduated from healthcare school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice North Memorial Health Care and her current practice location is 2100 Wilson Ave, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 771-1301.

Ms Charlesetta Rolack is licensed to practice in Minnesota (license number 18701) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083868970.

Contact Information

	Ms Charlesetta Rolack, LICSW
	2100 Wilson Ave, Saint Paul, MN 55119-4034
	(651) 771-1301
	(651) 771-2542

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Charlesetta Rolack
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	2100 Wilson Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Charlesetta Rolack graduated from medical school in 2005

NPI Data:

NPI Number: 1083868970
Provider Enumeration Date: 11/05/2008
Last Update Date: 11/05/2008

Medicare PECOS Information:

PECOS PAC ID: 3971993866
Enrollment ID: I20211208002457

Medical Identifiers

Medical identifiers for Ms Charlesetta Rolack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083868970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	18701 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Memorial Health Care	0042123028	483

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. Ms Charlesetta Rolack allows following entities to bill medicare on her behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

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 Charlesetta Rolack 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 Charlesetta Rolack, LICSW 2100 Wilson Ave, Saint Paul, MN 55119-4034 Ph: (651) 771-1301	Ms Charlesetta Rolack, LICSW 2100 Wilson Ave, Saint Paul, MN 55119-4034 Ph: (651) 771-1301

Reviews and Comments

Counselor in Saint Paul, MN

Joseph P. Sundeen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Wabasha St S, Suite 120, Saint Paul, MN 55107 Phone: 651-221-0913
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141
Abigail Brown, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000
Pang Xiong, Counselor Medicare: Medicare Enrolled Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219

Ms Charlesetta Rolack, LICSW - Medicare Counselor in Saint Paul, MN