Ms Susan Rajacich, LICSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is
546 N Jefferson Ln Ste 200, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 688-6700.
Ms Susan Rajacich is licensed to practice in Washington (license number LW60754941) 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 1528176450.
Healthcare Provider's Profile
| Full Name | Ms Susan Rajacich |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 546 N Jefferson Ln Ste 200, Spokane, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528176450
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 05/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496701690
- Enrollment ID: I20180115000628
Medical Identifiers
Medical identifiers for Ms Susan Rajacich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528176450 | NPI | - | NPPES |
| G8974824 | Other | WA | MEDICARE |
| 2094393 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 875 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 517 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60754941 (Washington) | 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. Ms Susan Rajacich allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
|---|
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 Susan Rajacich 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 Susan Rajacich, LICSW, LAC
Po Box 3867,
Spokane, WA 99220-3867
Ph: (509) 688-6700 | Ms Susan Rajacich, LICSW, LAC
546 N Jefferson Ln Ste 200,
Spokane, WA 99201-7104
Ph: (509) 688-6700 |
Reviews and Comments