Nastassia Marie Pavlov, in Minneapolis, MN - Medicare Counselor Provider

Nastassia Marie Pavlov, is a medicare enrolled "Counselor - Mental Health" provider in Minneapolis, Minnesota. Her current practice location is 410 Church St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 225-8400.

Nastassia Marie Pavlov is licensed to practice in * (Not Available) (license number ) 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 1609284033.

Contact Information

	Nastassia Marie Pavlov,
	410 Church St Se, Minneapolis, MN 55455-0222
	(612) 225-8400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nastassia Marie Pavlov
Gender	Female
Speciality	Counselor - Mental Health
Location	410 Church St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609284033
Provider Enumeration Date: 07/29/2014
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 2466803762
Enrollment ID: I20240111001579

Medical Identifiers

Medical identifiers for Nastassia Marie Pavlov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609284033	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3675 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Nastassia Marie Pavlov allows following entities to bill medicare on her 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. Nastassia Marie Pavlov 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
Nastassia Marie Pavlov, 401 Church St, 401 Church St., Minneapolis, MN 55455 Ph: (612) 626-3507	Nastassia Marie Pavlov, 410 Church St Se, Minneapolis, MN 55455-0222 Ph: (612) 225-8400

Reviews and Comments

Counselor in Minneapolis, MN

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Nastassia Marie Pavlov, - Medicare Counselor in Minneapolis, MN