Northstar Community Services Llc is a medicare enrolled "Social Worker" provider in Cloquet, Minnesota. Their current practice location is
30 N 10 Th St., Cloquet, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(218) 626-5175.
Northstar Community Services Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Northstar Community Services Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740938430.
Healthcare Provider's Profile
| Full Name | Northstar Community Services Llc |
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| Type | Facility |
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| Speciality | Social Worker |
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| Location | 30 N 10 Th St., Cloquet, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740938430
- Provider Enumeration Date: 03/13/2022
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204297286
- Enrollment ID: O20230808000131
Medical Identifiers
Medical identifiers for Northstar Community Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740938430 | NPI | - | NPPES |
| 1508626250 | Other | MN | MEGAN ROBINSON, OTR/L NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northstar Community Services Llc acts as a billing entity for following providers:
| Provider Name | Heather Lea Wright |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1215405063
PECOS PAC ID: 7012378094
Enrollment ID: I20231116003465 |
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| Provider Name | Paige M Konrad |
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| Provider Type | Practitioner - Mental Health Counselor |
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| Provider Identifiers | NPI Number: 1467859637
PECOS PAC ID: 0244675213
Enrollment ID: I20240229001284 |
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| Provider Name | Courtney Haviland |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1063018919
PECOS PAC ID: 0446781470
Enrollment ID: I20241002000381 |
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| Provider Name | Ari Nelson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1356193288
PECOS PAC ID: 1355870262
Enrollment ID: I20250122001750 |
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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. Northstar Community Services Llc 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 |
|---|
Northstar Community Services Llc
Po Box 189,
Cloquet, MN 55720
Ph: (218) 626-5175 | Northstar Community Services Llc
30 N 10 Th St.,
Cloquet, MN 55720
Ph: (218) 626-5175 |
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