Michele L Rasmussen, MA, LPC in Wautoma, WI - Medicare Counselor Provider

Michele L Rasmussen, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Wautoma, Wisconsin. Her current practice location is 400 S Townline Rd, Wautoma, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 787-5514.

Michele L Rasmussen is licensed to practice in Wisconsin (license number 3540-125) 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 1063563146.

Contact Information

	Michele L Rasmussen, MA, LPC
	400 S Townline Rd, Wautoma, WI 54982
	(920) 787-5514
	(920) 787-4737

Map and Direction

Healthcare Provider's Profile

Full Name	Michele L Rasmussen
Gender	Female
Speciality	Counselor - Mental Health
Location	400 S Townline Rd, Wautoma, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063563146
Provider Enumeration Date: 01/15/2007
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 0446277024
Enrollment ID: I20240118001094

Medical Identifiers

Medical identifiers for Michele L Rasmussen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063563146	NPI	-	NPPES
40988300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3540-125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	3540-125 (Wisconsin)	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. Michele L Rasmussen allows following entities to bill medicare on her behalf.

Entity Name	La Clinica De Los Campesinos, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058

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. Michele L Rasmussen 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
Michele L Rasmussen, MA, LPC Po Box 1440, Wautoma, WI 54982-1440 Ph: (920) 787-5514	Michele L Rasmussen, MA, LPC 400 S Townline Rd, Wautoma, WI 54982 Ph: (920) 787-5514

Reviews and Comments

Counselor in Wautoma, WI

Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725
Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Bethany Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Jena Vonfeldt, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: N3095 Lake Dr, Wautoma, WI 54982 Phone: 406-212-3293

Michele L Rasmussen, MA, LPC - Medicare Counselor in Wautoma, WI