Taylor Fellbaum, MS, LPCC in Duluth, MN - Medicare Counselor Provider

Taylor Fellbaum, MS, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Duluth, Minnesota. Her current practice location is 1702 Miller Trunk Hwy Ste 2, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 524-8889.

Taylor Fellbaum 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 1649811670.

Contact Information

	Taylor Fellbaum, MS, LPCC
	1702 Miller Trunk Hwy Ste 2, Duluth, MN 55811-4443
	(218) 524-8889
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Fellbaum
Gender	Female
Speciality	Counselor - Mental Health
Location	1702 Miller Trunk Hwy Ste 2, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649811670
Provider Enumeration Date: 10/01/2019
Last Update Date: 06/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7719338185
Enrollment ID: I20240110001694

Medical Identifiers

Medical identifiers for Taylor Fellbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649811670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Taylor Fellbaum allows following entities to bill medicare on her 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

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. Taylor Fellbaum 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
Taylor Fellbaum, MS, LPCC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 379-1756	Taylor Fellbaum, MS, LPCC 1702 Miller Trunk Hwy Ste 2, Duluth, MN 55811-4443 Ph: (218) 524-8889

Reviews and Comments

Counselor in Duluth, MN

Ms. Debra Charmaine Viner, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 306 W Superior St Ste 1000, Duluth, MN 55802 Phone: 218-481-7660 Fax: 218-216-1452
Raija S Winter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E Superior St Ste 502, Duluth, MN 55802 Phone: 218-327-2001 Fax: 218-327-0456
Kristina L Scott, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Miller Trunk Hwy, Duluth, MN 55811 Phone: 218-729-6480
David Lee Scott, MA, LMAC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 218-722-4379 Fax: 218-722-4333
Katie Elizabeth Beeman Erickson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11 E Superior St, Duluth, MN 55802 Phone: 218-393-5407 Fax: 218-461-3666
Paul Russell Giddings, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 437-921-8722
Mr. Ralph Borchardt I, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Superior St, Duluth, MN 55802 Phone: 218-722-4379

Taylor Fellbaum, MS, LPCC - Medicare Counselor in Duluth, MN