Eben Blake Danielson, in Moorhead, MN - Medicare Counselor Provider

Eben Blake Danielson, is a medicare enrolled "Counselor - Professional" provider in Moorhead, Minnesota. His current practice location is 815 37th Ave S, Moorhead, Minnesota. You can reach out to his office (for appointments etc.) via phone at (701) 451-4811.

Eben Blake Danielson is licensed to practice in Minnesota (license number CC01693) 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 1437662970.

Contact Information

	Eben Blake Danielson,
	815 37th Ave S, Moorhead, MN 56560-5524
	(701) 451-4811
	(651) 925-0057

Map and Direction

Healthcare Provider's Profile

Full Name	Eben Blake Danielson
Gender	Male
Speciality	Counselor - Professional
Location	815 37th Ave S, Moorhead, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437662970
Provider Enumeration Date: 11/07/2017
Last Update Date: 02/25/2020

Medicare PECOS Information:

PECOS PAC ID: 5991142721
Enrollment ID: I20240328000747

Medical Identifiers

Medical identifiers for Eben Blake Danielson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437662970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC01693 (Minnesota)	Primary
101YP2500X	Counselor - Professional	01905 (Minnesota)	Secondary

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. Eben Blake Danielson allows following entities to bill medicare on his behalf.

Entity Name	Village Family Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040623001223

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. Eben Blake Danielson 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
Eben Blake Danielson, 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4855	Eben Blake Danielson, 815 37th Ave S, Moorhead, MN 56560-5524 Ph: (701) 451-4811

Reviews and Comments

Counselor in Moorhead, MN

Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338

Eben Blake Danielson, - Medicare Counselor in Moorhead, MN