Miranda Marie Fassbender, in Amery, WI - Medicare Counselor Provider

Miranda Marie Fassbender, is a medicare enrolled "Counselor - Professional" provider in Amery, Wisconsin. Her current practice location is 230 Deronda St, Amery, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 268-8000.

Miranda Marie Fassbender is licensed to practice in Wisconsin (license number 5640.125) 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 1356681308.

Contact Information

	Miranda Marie Fassbender,
	230 Deronda St, Amery, WI 54001-1412
	(715) 268-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda Marie Fassbender
Gender	Female
Speciality	Counselor - Professional
Location	230 Deronda St, Amery, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356681308
Provider Enumeration Date: 02/27/2013
Last Update Date: 02/11/2019

Medicare PECOS Information:

PECOS PAC ID: 9638521032
Enrollment ID: I20240122003283

Medical Identifiers

Medical identifiers for Miranda Marie Fassbender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356681308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1887 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	5640.125 (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. Miranda Marie Fassbender allows following entities to bill medicare on her behalf.

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207

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. Miranda Marie Fassbender 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
Miranda Marie Fassbender, 2265 Como Ave, Saint Paul, MN 55108-1737 Ph: (651) 645-5323	Miranda Marie Fassbender, 230 Deronda St, Amery, WI 54001-1412 Ph: (715) 268-8000

Reviews and Comments

Counselor in Amery, WI

Linda Christine Mueller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Griffin, Amery, WI 54001 Phone: 715-268-8000
Emily Jane Schueller, AAS, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0060
Ashley Hinzman, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0060 Fax: 715-268-0061
Brian C Francis, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0136 Fax: 715-268-0061
Deborah K Rogers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Scholl Ct, Amery, WI 54001 Phone: 715-327-4402 Fax: 715-327-8509
Mckay L Tilton, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1241 112th Ave, Amery, WI 54001 Phone: 715-554-7207

Miranda Marie Fassbender, - Medicare Counselor in Amery, WI