Breanna Shellum, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Pine River, Minnesota. Her current practice location is
401 Murray Ave, Pine River, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 587-8044.
Breanna Shellum is licensed to practice in Minnesota (license number 2422) 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 1538570049.
Healthcare Provider's Profile
Full Name | Breanna Shellum |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 401 Murray Ave, Pine River, 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: 1538570049
- Provider Enumeration Date: 05/19/2014
- Last Update Date: 05/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 4082149372
- Enrollment ID: I20241122003388
Medical Identifiers
Medical identifiers for Breanna Shellum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538570049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 2422 (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. Breanna Shellum allows following entities to bill medicare on her behalf.
Entity Name | The Therapist |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093263113 PECOS PAC ID: 7618383951 Enrollment ID: O20210310002167 |
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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. Breanna Shellum 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 |
Breanna Shellum, MA, LMFT 17742 Browns Ln # 2, Brainerd, MN 56401-6198 Ph: (651) 315-3229 | Breanna Shellum, MA, LMFT 401 Murray Ave, Pine River, MN 56474-4484 Ph: (218) 587-8044 |
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