Benjamin John Fraundorf, in Menomonie, WI - Medicare Counselor Provider

Benjamin John Fraundorf, is a medicare enrolled "Counselor - Mental Health" provider in Menomonie, Wisconsin. His current practice location is 2321 Stout Rd, Menomonie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 235-9671.

Benjamin John Fraundorf is licensed to practice in Wisconsin (license number 7098) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851755318.

Contact Information

	Benjamin John Fraundorf,
	2321 Stout Rd, Menomonie, WI 54751-7003
	(715) 235-9671
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Benjamin John Fraundorf
Gender	Male
Speciality	Counselor - Mental Health
Location	2321 Stout Rd, Menomonie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851755318
Provider Enumeration Date: 04/11/2016
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8820432180
Enrollment ID: I20240215000541

Medical Identifiers

Medical identifiers for Benjamin John Fraundorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851755318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7098 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7098 (Wisconsin)	Secondary

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. Benjamin John Fraundorf allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic Health System-northwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075

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. Benjamin John Fraundorf 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
Benjamin John Fraundorf, 200 1st St Sw, Rochester, MN 55905-1510 Ph: (715) 838-5222	Benjamin John Fraundorf, 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 235-9671

Reviews and Comments

Counselor in Menomonie, WI

Kiersten Lynette Buck, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Rachel Moe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Kelley Rae Mendalski, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Kelsey Eileen Trinkner, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Us Highway 12 E Ste 160, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987
Alethea Ann Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: N4762 State Road 25, Menomonie, WI 54751 Phone: 715-231-2010
Victoria Rose Perron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7116
Diane K. Delegard, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645

Benjamin John Fraundorf, - Medicare Counselor in Menomonie, WI