Kristen Wylde, LPCC in Minneapolis, MN - Medicare Counselor Provider

Kristen Wylde, LPCC is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. Her current practice location is 2925 Chicago Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 262-5000.

Kristen Wylde is licensed to practice in Minnesota (license number 00210) 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 1235429812.

Contact Information

	Kristen Wylde, LPCC
	2925 Chicago Ave, Minneapolis, MN 55407-1321
	(612) 262-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Wylde
Gender	Female
Speciality	Counselor - Professional
Location	2925 Chicago Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235429812
Provider Enumeration Date: 04/15/2011
Last Update Date: 08/03/2016

Medicare PECOS Information:

PECOS PAC ID: 1052761145
Enrollment ID: I20240102003065

Medical Identifiers

Medical identifiers for Kristen Wylde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235429812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	00210 (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. Kristen Wylde allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Kristen Wylde 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
Kristen Wylde, LPCC 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Kristen Wylde, LPCC 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000

Reviews and Comments

Counselor in Minneapolis, MN

Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209

Kristen Wylde, LPCC - Medicare Counselor in Minneapolis, MN