Mr Adam Dollen, NCC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Missouri Valley, Iowa. His current practice location is
421 E Erie St, Missouri Valley, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 307-2355.
Mr Adam Dollen is licensed to practice in Iowa (license number 096915) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619525433.
Healthcare Provider's Profile
Full Name | Mr Adam Dollen |
---|
Gender | Male |
---|
Speciality | Counselor - Mental Health |
---|
Location | 421 E Erie St, Missouri Valley, Iowa |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619525433
- Provider Enumeration Date: 08/27/2019
- Last Update Date: 08/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628427911
- Enrollment ID: I20231212002528
Medical Identifiers
Medical identifiers for Mr Adam Dollen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619525433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 096915 (Iowa) | 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. Mr Adam Dollen allows following entities to bill medicare on his behalf.
Entity Name | Alegent Creighton Health |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1770922437 PECOS PAC ID: 1850285255 Enrollment ID: O20131023000316 |
---|
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. Mr Adam Dollen 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 |
Mr Adam Dollen, NCC, LMHC 411 Highway 191, Persia, IA 51563 Ph: () - | Mr Adam Dollen, NCC, LMHC 421 E Erie St, Missouri Valley, IA 51555 Ph: (712) 307-2355 |
Reviews and Comments