Naomi Nelson, MS, LPCC is a medicare enrolled "Counselor - Professional" provider in Crosslake, Minnesota. Her current practice location is
37218 County Road 66, Crosslake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 692-5151.
Naomi Nelson is licensed to practice in Minnesota (license number CC03462) 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 1417675018.
Healthcare Provider's Profile
| Full Name | Naomi Nelson |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 37218 County Road 66, Crosslake, 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: 1417675018
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456887041
- Enrollment ID: I20241205003107
Medical Identifiers
Medical identifiers for Naomi Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417675018 | NPI | - | NPPES |
| CC03462 | Other | MN | MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | CC03462 (Minnesota) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Naomi Nelson allows following entities to bill medicare on her behalf.
| Entity Name | The Way Mental Health Services Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689374613
PECOS PAC ID: 3375079957
Enrollment ID: O20241205002931 |
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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. Naomi Nelson 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 |
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Naomi Nelson, MS, LPCC
7888 Logging Ln,
Breezy Point, MN 56472-3927
Ph: (218) 371-6839 | Naomi Nelson, MS, LPCC
37218 County Road 66,
Crosslake, MN 56442-2529
Ph: (218) 692-5151 |
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