Mr Peter Moises Falcon, in Maple Grove, MN - Medicare Counselor Provider

Mr Peter Moises Falcon, is a medicare enrolled "Counselor - Mental Health" provider in Maple Grove, Minnesota. His current practice location is 7767 Elm Creek Blvd N Ste 220, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 313-8080.

Mr Peter Moises Falcon is licensed to practice in Minnesota (license number 2052) 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 1508212812.

Contact Information

	Mr Peter Moises Falcon,
	7767 Elm Creek Blvd N Ste 220, Maple Grove, MN 55369-7067
	(651) 313-8080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Peter Moises Falcon
Gender	Male
Speciality	Counselor - Mental Health
Location	7767 Elm Creek Blvd N Ste 220, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508212812
Provider Enumeration Date: 05/05/2016
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9638520026
Enrollment ID: I20240110002423

Medical Identifiers

Medical identifiers for Mr Peter Moises Falcon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508212812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2052 (Minnesota)	Primary
101YM0800X	Counselor - Mental Health	10678 (Nebraska)	Secondary

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 Peter Moises Falcon allows following entities to bill medicare on his behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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 Peter Moises Falcon 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 Peter Moises Falcon, 1370 Mendota Heights Rd, Mendota Heights, MN 55120-1281 Ph: (651) 313-8080	Mr Peter Moises Falcon, 7767 Elm Creek Blvd N Ste 220, Maple Grove, MN 55369-7067 Ph: (651) 313-8080

Reviews and Comments

Counselor in Maple Grove, MN

Sarah Nicole Olson Venning, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Blake Malloy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250
Martha Sepulveda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-284-3706 Fax: 763-274-3121
Kimberly Fothergill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121

Mr Peter Moises Falcon, - Medicare Counselor in Maple Grove, MN