Samantha Louise Yerks, LICSW LGSW is a medicare enrolled "Social Worker - Clinical" provider in White Bear Lk, Minnesota. Her current practice location is
4801 Highway 61 N Ste 204, White Bear Lk, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 465-6700.
Samantha Louise Yerks is licensed to practice in Minnesota (license number 22117) 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 1336374750.
Healthcare Provider's Profile
| Full Name | Samantha Louise Yerks |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4801 Highway 61 N Ste 204, White Bear Lk, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336374750
- Provider Enumeration Date: 05/29/2009
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375875446
- Enrollment ID: I20210730002191
Medical Identifiers
Medical identifiers for Samantha Louise Yerks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336374750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | 302641 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 22117 (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. Samantha Louise Yerks allows following entities to bill medicare on her behalf.
| Entity Name | Introspect Mental Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184273666 PECOS PAC ID: 9931502796 Enrollment ID: O20210730002128 |
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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. Samantha Louise Yerks 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 |
Samantha Louise Yerks, LICSW LGSW 22130 Typo Creek Dr Ne, Wyoming, MN 55092-4602 Ph: (651) 271-8970 | Samantha Louise Yerks, LICSW LGSW 4801 Highway 61 N Ste 204, White Bear Lk, MN 55110-2752 Ph: (763) 465-6700 |
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