Ms Christi Michelle Wellman, LPCC AND LADC is a medicare enrolled "Counselor - Mental Health" provider in Chicago City, Minnesota. Her current practice location is
11725 Stinson Avenue, Chicago City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 213-8051.
Ms Christi Michelle Wellman is licensed to practice in Minnesota (license number CC00281) 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 1568085868.
Healthcare Provider's Profile
| Full Name | Ms Christi Michelle Wellman |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 11725 Stinson Avenue, Chicago City, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568085868
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729426325
- Enrollment ID: I20240402001264
Medical Identifiers
Medical identifiers for Ms Christi Michelle Wellman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568085868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304539 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | CC00281 (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. Ms Christi Michelle Wellman allows following entities to bill medicare on her behalf.
| Entity Name | Ellie Family Services Pllp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740664150
PECOS PAC ID: 8325309669
Enrollment ID: O20180228001972 |
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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. Ms Christi Michelle Wellman 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 |
|---|
Ms Christi Michelle Wellman, LPCC AND LADC
11725 Stinson Avenue,
Chicago City, MN 55013
Ph: (651) 213-8051 | Ms Christi Michelle Wellman, LPCC AND LADC
11725 Stinson Avenue,
Chicago City, MN 55013
Ph: (651) 213-8051 |
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