Jon Butala, LMFT in Apple Valley, MN - Medicare Marriage & Family Therapist Provider

Jon Butala, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Apple Valley, Minnesota. His current practice location is 4300 W 147th St., Suite 204, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 997-3020.

Jon Butala is licensed to practice in Minnesota (license number 2361) 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 1568872216.

Contact Information

	Jon Butala, LMFT
	4300 W 147th St., Suite 204, Apple Valley, MN 55124
	(952) 997-3020
	(952) 997-3026

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Butala
Gender	Male
Speciality	Marriage & Family Therapist
Location	4300 W 147th St., Apple Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568872216
Provider Enumeration Date: 05/04/2014
Last Update Date: 07/17/2014

Medicare PECOS Information:

PECOS PAC ID: 9234589235
Enrollment ID: I20240102003864

Medical Identifiers

Medical identifiers for Jon Butala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568872216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2361 (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. Jon Butala allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Jon Butala 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
Jon Butala, LMFT 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: (651) 379-1718	Jon Butala, LMFT 4300 W 147th St., Suite 204, Apple Valley, MN 55124 Ph: (952) 997-3020

Reviews and Comments

Marriage & Family Therapist in Apple Valley, MN

Andy Robinson, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7493 147th St W, Suite 107a, Apple Valley, MN 55124 Phone: 651-303-8417
Isabel Delores Shafer, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 651-328-4948
Ms. Virginia D'angelo, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7493 147th St W Ste 107, Apple Valley, MN 55124 Phone: 952-432-0043 Fax: 952-432-0809
Ms. Tamera Rae Mensink, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7600 143rd St W, Suite 300, Apple Valley, MN 55124 Phone: 651-373-9440 Fax: 866-712-6337
Wendi Marie Anderson, DMFT, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6950 146th St W Ste 100, Apple Valley, MN 55124 Phone: 952-432-1484 Fax: 952-432-2328
Kayla Schulz, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020
Ellen Johanna Kingren, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 600, Apple Valley, MN 55124 Phone: 953-234-6299 Fax: 952-997-3027

Jon Butala, LMFT - Medicare Couples Therapy in Apple Valley, MN