Carissa Joyce White, MPS, LADC, MHP in Mora, MN

Carissa Joyce White, MPS, LADC, MHP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Mora, Minnesota. Her current practice location is 2031 Rowland Rd, Mora, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 364-1300.

Carissa Joyce White is licensed to practice in Minnesota (license number 305579) 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 1922632363.

Contact Information

	Carissa Joyce White, MPS, LADC, MHP
	2031 Rowland Rd, Mora, MN 55051-7119
	(320) 364-1300
	(651) 323-2558

Map and Direction

Healthcare Provider's Profile

Full Name	Carissa Joyce White
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2031 Rowland Rd, Mora, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922632363
Provider Enumeration Date: 02/25/2020
Last Update Date: 02/25/2020

Medicare PECOS Information:

PECOS PAC ID: 0446603484
Enrollment ID: I20240126000396

Medical Identifiers

Medical identifiers for Carissa Joyce White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922632363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	305579 (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. Carissa Joyce White allows following entities to bill medicare on her behalf.

Entity Name	Introspect Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184273666 PECOS PAC ID: 9931502796 Enrollment ID: O20210730002128

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. Carissa Joyce White 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
Carissa Joyce White, MPS, LADC, MHP 2031 Rowland Rd, Mora, MN 55051-7119 Ph: (320) 364-1300	Carissa Joyce White, MPS, LADC, MHP 2031 Rowland Rd, Mora, MN 55051-7119 Ph: (320) 364-1300

Reviews and Comments

Counselor in Mora, MN

Lisa L Schultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 320-364-1314 Fax: 320-364-1320
Benjamin Bryan Coleman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Pine St N, Mora, MN 55051 Phone: 320-679-6964
Sadie Briana Broekemeier, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 763-242-1400
Renae Ann Berg, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Maple Ave E, Mora, MN 55051 Phone: 132-067-9358 Fax: 320-679-3579
Megan Roloff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 320-364-1300
Jodie M Evenson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Maple Ave E, Mora, MN 55051 Phone: 320-209-1941
Renee Elaine Lacroix, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Union St N, Mora, MN 55051 Phone: 320-703-8151 Fax: 320-210-1830

Carissa Joyce White, MPS, LADC, MHP - Medicare Counselor in Mora, MN