Mary Souder, in Minneapolis, MN - Medicare Counselor Provider

Mary Souder, is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. Her current practice location is 3137 Hennepin Ave Ste 105, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (833) 482-5546.

Mary Souder is licensed to practice in Minnesota (license number 00868) 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 1831587062.

Contact Information

	Mary Souder,
	3137 Hennepin Ave Ste 105, Minneapolis, MN 55408-2642
	(833) 482-5546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Souder
Gender	Female
Speciality	Counselor - Professional
Location	3137 Hennepin Ave Ste 105, 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: 1831587062
Provider Enumeration Date: 12/22/2014
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3274978424
Enrollment ID: I20240228001681

Medical Identifiers

Medical identifiers for Mary Souder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831587062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	868 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	00868 (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. Mary Souder allows following entities to bill medicare on her behalf.

Entity Name	Tiny Tree Counseling & Consulting, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063165355 PECOS PAC ID: 2365887510 Enrollment ID: O20240228001369

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. Mary Souder 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
Mary Souder, 3137 Hennepin Ave Ste 105, Minneapolis, MN 55408-2642 Ph: (833) 482-5546	Mary Souder, 3137 Hennepin Ave Ste 105, Minneapolis, MN 55408-2642 Ph: (833) 482-5546

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

Mary Souder, - Medicare Counselor in Minneapolis, MN