Shawn S Gravelle, LPCC in Chaska, MN - Medicare Counselor Provider

Shawn S Gravelle, LPCC is a medicare enrolled "Counselor - Professional" provider in Chaska, Minnesota. His current practice location is 1107 Hazeltine Blvd Ste 370, Chaska, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 395-1441.

Shawn S Gravelle is licensed to practice in Minnesota (license number 1217) 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 1295855963.

Contact Information

	Shawn S Gravelle, LPCC
	1107 Hazeltine Blvd Ste 370, Chaska, MN 55318-1009
	(952) 395-1441
	(651) 395-1442

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn S Gravelle
Gender	Male
Speciality	Counselor - Professional
Location	1107 Hazeltine Blvd Ste 370, Chaska, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295855963
Provider Enumeration Date: 03/29/2007
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4284081126
Enrollment ID: I20231114001822

Medical Identifiers

Medical identifiers for Shawn S Gravelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295855963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC3523 (Idaho)	Secondary
101YP2500X	Counselor - Professional	1217 (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. Shawn S Gravelle allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	River Valley Behavioral Health & Wellness Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20221117000817

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. Shawn S Gravelle 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
Shawn S Gravelle, LPCC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566	Shawn S Gravelle, LPCC 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318-1009 Ph: (952) 395-1441

Reviews and Comments

Counselor in Chaska, MN

Mrs. Dawn M Bunke, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Stoughton Ave, Chaska, MN 55318 Phone: 952-297-8656
Catherine F. Fitterer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 4th St, Chaska, MN 55318 Phone: 952-361-1600 Fax: 952-361-1660
Kimberly Kathleen Sandiford, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318 Phone: 952-395-1441
Armani S Cartlidge, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1107 Hazeltine Blvd Ste 121, Chaska, MN 55318 Phone: 952-361-3360 Fax: 763-544-1008
Michael Winter, MA, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 586 Westwood Ln, Chaska, MN 55318 Phone: 952-200-7093
Melissa Goroni Larson, LICSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 111 Hundertmark Rd Ste 205n, Chaska, MN 55318 Phone: 952-903-1350 Fax: 952-426-3856
Coreen Tracee Jander, MA (LPCC-TX) Counselor Medicare: Medicare Enrolled Practice Location: 1107 Hazeltine Blvd Ste 370, Chaska, MN 55318 Phone: 952-395-1441 Fax: 952-395-1442

Shawn S Gravelle, LPCC - Medicare Counselor in Chaska, MN