Theresa Odden, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Crosby, Minnesota. Her current practice location is
207 1st St Nw, Crosby, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 585-2052.
Theresa Odden is licensed to practice in Minnesota (license number 2953) 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 1457025439.
Healthcare Provider's Profile
Full Name | Theresa Odden |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 207 1st St Nw, Crosby, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457025439
- Provider Enumeration Date: 08/04/2021
- Last Update Date: 01/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022451400
- Enrollment ID: I20240213002984
Medical Identifiers
Medical identifiers for Theresa Odden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457025439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2953 (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. Theresa Odden allows following entities to bill medicare on her behalf.
Entity Name | Northernwaters Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912660259 PECOS PAC ID: 2264875640 Enrollment ID: O20240213003112 |
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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. Theresa Odden 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 |
Theresa Odden, LPCC 207 1st St Nw, Crosby, MN 56441-1301 Ph: (218) 585-2052 | Theresa Odden, LPCC 207 1st St Nw, Crosby, MN 56441-1301 Ph: (218) 585-2052 |
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