Dr Larry Jerome Watnemo, LPCC in Fargo, ND - Medicare Counselor Provider

Dr Larry Jerome Watnemo, LPCC is a medicare enrolled "Counselor - Professional" provider in Fargo, North Dakota. His current practice location is 1112 Nodak Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 232-6224.

Dr Larry Jerome Watnemo is licensed to practice in North Dakota (license number ND 392-12-1-97-83) 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 1063568301.

Contact Information

	Dr Larry Jerome Watnemo, LPCC
	1112 Nodak Dr S, Fargo, ND 58103-2366
	(701) 232-6224
	(701) 232-4687

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Larry Jerome Watnemo
Gender	Male
Speciality	Counselor - Professional
Location	1112 Nodak Dr S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063568301
Provider Enumeration Date: 01/27/2007
Last Update Date: 05/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8325490022
Enrollment ID: I20240118001582

Medical Identifiers

Medical identifiers for Dr Larry Jerome Watnemo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063568301	NPI	-	NPPES
1468231	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	ND 392-12-1-97-83 (North Dakota)	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. Dr Larry Jerome Watnemo allows following entities to bill medicare on his behalf.

Entity Name	Valley Christian Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467559427 PECOS PAC ID: 6709845654 Enrollment ID: O20041006000696

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. Dr Larry Jerome Watnemo 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
Dr Larry Jerome Watnemo, LPCC 1112 Nodak Dr S, Fargo, ND 58103-2366 Ph: (701) 232-6224	Dr Larry Jerome Watnemo, LPCC 1112 Nodak Dr S, Fargo, ND 58103-2366 Ph: (701) 232-6224

Reviews and Comments

Counselor in Fargo, ND

Rachel A Blumhardt, Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057
Sarah Klimek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383
Mary Beth Stensgard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649
Dale A Carrier, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

Dr Larry Jerome Watnemo, LPCC - Medicare Counselor in Fargo, ND