David Bryan Friedentag, LPC 3994, LAC 123 in Denver, CO

David Bryan Friedentag, LPC 3994, LAC 123 is a medicare enrolled "Counselor - Mental Health" provider in Denver, Colorado. His current practice location is 3855 S Monaco Pkwy Apt 101, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 915-4748.

David Bryan Friedentag is licensed to practice in Colorado (license number 3994) 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 1063028637.

Contact Information

	David Bryan Friedentag, LPC 3994, LAC 123
	3855 S Monaco Pkwy Apt 101, Denver, CO 80237-1207
	(303) 915-4748
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Bryan Friedentag
Gender	Male
Speciality	Counselor - Mental Health
Location	3855 S Monaco Pkwy Apt 101, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063028637
Provider Enumeration Date: 09/19/2020
Last Update Date: 09/19/2020

Medicare PECOS Information:

PECOS PAC ID: 3971948522
Enrollment ID: I20240305002505

Medical Identifiers

Medical identifiers for David Bryan Friedentag such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063028637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3994 (Colorado)	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. David Bryan Friedentag allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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. David Bryan Friedentag 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
David Bryan Friedentag, LPC 3994, LAC 123 3855 S Monaco Pkwy Apt 101, Denver, CO 80237-1207 Ph: (303) 915-4748	David Bryan Friedentag, LPC 3994, LAC 123 3855 S Monaco Pkwy Apt 101, Denver, CO 80237-1207 Ph: (303) 915-4748

Reviews and Comments

Counselor in Denver, CO

Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239
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Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000
Amber L Sokoll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858
Kathryn Broyles Daigle, M.A., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Clarkson St, Denver, CO 80218 Phone: 720-340-1443

David Bryan Friedentag, LPC 3994, LAC 123 - Medicare Counselor in Denver, CO