Jon D Forsberg, MA in Fridley, MN - Medicare Counselor Provider

Jon D Forsberg, MA is a medicare enrolled "Counselor - Mental Health" provider in Fridley, Minnesota. His current practice location is 5155 E River Rd Ste 401, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 438-4038.

Jon D Forsberg is licensed to practice in * (Not Available) (license number ) 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 1609329234.

Contact Information

	Jon D Forsberg, MA
	5155 E River Rd Ste 401, Fridley, MN 55421-3777
	(763) 438-4038
	(763) 780-3306

Map and Direction

Healthcare Provider's Profile

Full Name	Jon D Forsberg
Gender	Male
Speciality	Counselor - Mental Health
Location	5155 E River Rd Ste 401, 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: 1609329234
Provider Enumeration Date: 08/01/2016
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4587006051
Enrollment ID: I20240529003028

Medical Identifiers

Medical identifiers for Jon D Forsberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609329234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Jon D Forsberg allows following entities to bill medicare on his behalf.

Entity Name	Lighthouse Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548428170 PECOS PAC ID: 3072948389 Enrollment ID: O20200115000170

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. Jon D Forsberg 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
Jon D Forsberg, MA 5155 E River Rd Ste 401, Fridley, MN 55421-3777 Ph: (763) 438-4038	Jon D Forsberg, MA 5155 E River Rd Ste 401, Fridley, MN 55421-3777 Ph: (763) 438-4038

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

Jon D Forsberg, MA - Medicare Counselor in Fridley, MN