Brianne Wooldridge, LPC-1589 is a medicare enrolled "Counselor" provider in Sundance, Wyoming. Her current practice location is
405 Main St, Sundance, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 682-2034.
Brianne Wooldridge is licensed to practice in Wyoming (license number LPC1589) 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 1366868150.
Healthcare Provider's Profile
Full Name | Brianne Wooldridge |
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Gender | Female |
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Speciality | Counselor |
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Location | 405 Main St, Sundance, Wyoming |
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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: 1366868150
- Provider Enumeration Date: 03/17/2014
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264872167
- Enrollment ID: I20240425001442
Medical Identifiers
Medical identifiers for Brianne Wooldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366868150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101Y00000X | Counselor | LPC1589 (Wyoming) | 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. Brianne Wooldridge allows following entities to bill medicare on her behalf.
Entity Name | Atlas Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073028494 PECOS PAC ID: 7315274883 Enrollment ID: O20190806002496 |
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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. Brianne Wooldridge 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 |
Brianne Wooldridge, LPC-1589 812 E 4th St, Gillette, WY 82716-4033 Ph: (307) 682-2034 | Brianne Wooldridge, LPC-1589 405 Main St, Sundance, WY 82729 Ph: (307) 682-2034 |
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