Kelsey Miller, in Plymouth, MN - Medicare Counselor Provider

Kelsey Miller, is a medicare enrolled "Counselor - Mental Health" provider in Plymouth, Minnesota. Her current practice location is 3251 Fernbrook Ln N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 268-5858.

Kelsey Miller is licensed to practice in Minnesota (license number CC01511) 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 1164957858.

Contact Information

	Kelsey Miller,
	3251 Fernbrook Ln N, Plymouth, MN 55447-5352
	(612) 268-5858
	(952) 548-8760

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Miller
Gender	Female
Speciality	Counselor - Mental Health
Location	3251 Fernbrook Ln N, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164957858
Provider Enumeration Date: 05/01/2017
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0042661472
Enrollment ID: I20240110000169

Medical Identifiers

Medical identifiers for Kelsey Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164957858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC01511 (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. Kelsey Miller allows following entities to bill medicare on her behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

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. Kelsey Miller 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
Kelsey Miller, 3395 Plymouth Rd, Minnetonka, MN 55305-3765 Ph: (952) 939-0396	Kelsey Miller, 3251 Fernbrook Ln N, Plymouth, MN 55447-5352 Ph: (612) 268-5858

Reviews and Comments

Counselor in Plymouth, MN

Jesse Inderlee, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13895 Industrial Park Blvd, Plymouth, MN 55441 Phone: 763-559-5677
Lauris J Prinsen, L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 211, Plymouth, MN 55441 Phone: 763-550-9005 Fax: 763-559-2118
Jessica Sklar, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19095 51st Pl N, Plymouth, MN 55446 Phone: 952-212-1330
Luke Morken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10000 Hwy 55 Ste 300, Plymouth, MN 55441 Phone: 763-412-0722
Emily Cross, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Forestview Ln N, Plymouth, MN 55441 Phone: 763-546-8008
Mrs. Melody Joy Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13210 45th Ave North, Plymouth, MN 55442 Phone: 612-616-0224 Fax: 612-616-0224
Sada Kathryn Puckett, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2415 Annapolis Ln N Ste 130, Plymouth, MN 55441 Phone: 763-220-0218

Kelsey Miller, - Medicare Counselor in Plymouth, MN