Violet Marie Wurtzberger, MS, LPCC, LADC is a medicare enrolled "Counselor - Mental Health" provider in Pequot Lakes, Minnesota. Her current practice location is
3937 Brown St, Pequot Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 336-3026.
Violet Marie Wurtzberger 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 1396319679.
Healthcare Provider's Profile
Full Name | Violet Marie Wurtzberger |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3937 Brown St, Pequot Lakes, 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: 1396319679
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729438064
- Enrollment ID: I20231228001147
Medical Identifiers
Medical identifiers for Violet Marie Wurtzberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396319679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | 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. Violet Marie Wurtzberger allows following entities to bill medicare on her behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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Entity Name | Integrative Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396314654 PECOS PAC ID: 5698164895 Enrollment ID: O20211109002570 |
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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. Violet Marie Wurtzberger 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 |
Violet Marie Wurtzberger, MS, LPCC, LADC 3937 Brown St, Pequot Lakes, MN 56472-3053 Ph: (218) 270-9406 | Violet Marie Wurtzberger, MS, LPCC, LADC 3937 Brown St, Pequot Lakes, MN 56472-3053 Ph: (651) 336-3026 |
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