Mr Matthew Keith Sissons, MA in Wadena, MN - Medicare Counselor Provider

Mr Matthew Keith Sissons, MA is a medicare enrolled "Counselor - Mental Health" provider in Wadena, Minnesota. His current practice location is 11 2nd St Sw, Wadena, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 639-2025.

Mr Matthew Keith Sissons is licensed to practice in Minnesota (license number 3929) 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 1710441829.

Contact Information

	Mr Matthew Keith Sissons, MA
	11 2nd St Sw, Wadena, MN 56482-1482
	(320) 639-2025
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Matthew Keith Sissons
Gender	Male
Speciality	Counselor - Mental Health
Location	11 2nd St Sw, Wadena, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710441829
Provider Enumeration Date: 01/23/2019
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6002266475
Enrollment ID: I20231227001744

Medical Identifiers

Medical identifiers for Mr Matthew Keith Sissons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710441829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	IMH17584 (Florida)	Secondary
101Y00000X	Counselor	MH21911 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	3929 (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. Mr Matthew Keith Sissons allows following entities to bill medicare on his behalf.

Entity Name	Northern Pines Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013904051 PECOS PAC ID: 8628979697 Enrollment ID: O20040114000463

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 Matthew Keith Sissons 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 Matthew Keith Sissons, MA Po Box 367, Little Falls, MN 56345-0367 Ph: (320) 639-2025	Mr Matthew Keith Sissons, MA 11 2nd St Sw, Wadena, MN 56482-1482 Ph: (320) 639-2025

Reviews and Comments

Counselor in Wadena, MN

William John Dorholt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Suite 1, Wadena, MN 56482 Phone: 218-631-1714 Fax: 218-631-4228
Patrick Zerwas, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Jefferson St S, Wadena, MN 56482 Phone: 218-820-0942
Erin Riemer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Suite 1, Wadena, MN 56482 Phone: 218-631-1714 Fax: 218-631-4228
Jordana Pearson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, 1, Wadena, MN 56482 Phone: 218-631-1714
Mr. David Eugene Sanderson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12214 200th St, Wadena, MN 56482 Phone: 218-631-3610 Fax: 218-631-3917
Patricia Godwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Wadena, MN 56482 Phone: 218-631-1714
Brooke Martinez, M.S. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Shady Lane Dr, Wadena, MN 56482 Phone: 182-319-6008 Fax: 218-632-6583

Mr Matthew Keith Sissons, MA - Medicare Counselor in Wadena, MN