Kathryn Wilder, MA in Burnsville, MN - Medicare Counselor Provider

Kathryn Wilder, MA is a medicare enrolled "Counselor - Mental Health" provider in Burnsville, Minnesota. Her current practice location is 2970 Judicial Rd Ste 100, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 224-8990.

Kathryn Wilder is licensed to practice in Minnesota (license number 03046) 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 1326631417.

Contact Information

	Kathryn Wilder, MA
	2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822
	(952) 224-8990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Wilder
Gender	Female
Speciality	Counselor - Mental Health
Location	2970 Judicial Rd Ste 100, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326631417
Provider Enumeration Date: 02/19/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7214389196
Enrollment ID: I20240524002115

Medical Identifiers

Medical identifiers for Kathryn Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326631417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	03046 (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. Kathryn Wilder allows following entities to bill medicare on her behalf.

Entity Name	Lyn-lake Psychotherapy And Wellness Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071

Entity Name	Tamera Mensink Tm Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124417878 PECOS PAC ID: 0749624211 Enrollment ID: O20240223000757

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. Kathryn Wilder 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
Kathryn Wilder, MA 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 Ph: (952) 224-8990	Kathryn Wilder, MA 2970 Judicial Rd Ste 100, Burnsville, MN 55337-7822 Ph: (952) 224-8990

Reviews and Comments

Counselor in Burnsville, MN

Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954
Bridgett Littel, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14551 Judicial Rd, Burnsville, MN 55306 Phone: 952-898-5020
John Gawboy, Counselor Medicare: Medicare Enrolled Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517
Donna Louise Martin-wallace, LPCC, LADC, ADCR-MN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991
Bridget Mozina, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14591 Grand Ave Ste 206, Burnsville, MN 55306 Phone: 612-699-3300 Fax: 612-699-4400

Kathryn Wilder, MA - Medicare Counselor in Burnsville, MN