Jan Marie D'ambrosio, MA, LMFT in Champlin, MN

Jan Marie D'ambrosio, MA, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Champlin, Minnesota. Her current practice location is 11141 Zealand Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 951-3091.

Jan Marie D'ambrosio is licensed to practice in * (Not Available) (license number ) 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 1538625256.

Contact Information

	Jan Marie D'ambrosio, MA, LMFT
	11141 Zealand Ave N, Champlin, MN 55316-3595
	(763) 951-3091
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jan Marie D'ambrosio
Gender	Female
Speciality	Counselor - Mental Health
Location	11141 Zealand Ave N, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538625256
Provider Enumeration Date: 02/18/2019
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5092160507
Enrollment ID: I20231018000584

Medical Identifiers

Medical identifiers for Jan Marie D'ambrosio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538625256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
106H00000X	Marriage & Family Therapist	3856 (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. Jan Marie D'ambrosio allows following entities to bill medicare on her behalf.

Entity Name	Beacon Therapy Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412

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. Jan Marie D'ambrosio 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
Jan Marie D'ambrosio, MA, LMFT 475 W Eagle Lake Dr, Maple Grove, MN 55369-5528 Ph: (612) 351-2283	Jan Marie D'ambrosio, MA, LMFT 11141 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 951-3091

Reviews and Comments

Counselor in Champlin, MN

Nicole Anne Koch, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11117 Zealand Ave N, Champlin, MN 55316 Phone: 763-746-0842
Mrs. Shannon Lee Royer, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-670-6050
Lindsay Rebecca Noreen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 612-202-5959
Gretchen Renee Hubble, M.A., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11116 Zealand Ave N Ste 117, Champlin, MN 55316 Phone: 763-746-0844 Fax: 763-746-0843
Karissa Joy Rooney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-951-3091 Fax: 763-951-3097
Mr. Kenneth George Reiners, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11330 Rosemill Ln, Champlin, MN 55316 Phone: 763-323-2906 Fax: 763-576-1731
Ms. Laura Joy Wevers, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11108 Zealand Ave N, Suite 103, Champlin, MN 55316 Phone: 651-726-4940

Jan Marie D'ambrosio, MA, LMFT - Medicare Counselor in Champlin, MN