Deanna Pelley, MA LPCC in Fridley, MN - Medicare Counselor Provider

Deanna Pelley, MA LPCC is a medicare enrolled "Counselor - Mental Health" provider in Fridley, Minnesota. Her current practice location is 7260 University Ave Ne Ste 235, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 572-2612.

Deanna Pelley is licensed to practice in Minnesota (license number CC02864) 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 1912576166.

Contact Information

	Deanna Pelley, MA LPCC
	7260 University Ave Ne Ste 235, Fridley, MN 55432-3141
	(763) 572-2612
	(763) 572-2606

Map and Direction

Healthcare Provider's Profile

Full Name	Deanna Pelley
Gender	Female
Speciality	Counselor - Mental Health
Location	7260 University Ave Ne Ste 235, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912576166
Provider Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2961937388
Enrollment ID: I20241122000067

Medical Identifiers

Medical identifiers for Deanna Pelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912576166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC02864 (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. Deanna Pelley allows following entities to bill medicare on her behalf.

Entity Name	Cgc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699239566 PECOS PAC ID: 4284169723 Enrollment ID: O20241121000828

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. Deanna Pelley 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
Deanna Pelley, MA LPCC 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 Ph: (763) 572-2612	Deanna Pelley, MA LPCC 7260 University Ave Ne Ste 235, Fridley, MN 55432-3141 Ph: (763) 572-2612

Reviews and Comments

Counselor in Fridley, MN

Mohamed Hassan Ahmed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6599 Channel Rd Ne, Fridley, MN 55432 Phone: 763-318-4122
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105
Matthew John Fritscher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
David Alan Wood, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612
Andrea N Ellena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 612-273-4636
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370

Deanna Pelley, MA LPCC - Medicare Counselor in Fridley, MN