Kelly Ann Evertz, LMFT in Duluth, MN - Medicare Marriage & Family Therapist Provider

Kelly Ann Evertz, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Duluth, Minnesota. Her current practice location is 404 W Superior St Ste 210, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 606-1100.

Kelly Ann Evertz is licensed to practice in Minnesota (license number 4397) 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 1033827233.

Contact Information

	Kelly Ann Evertz, LMFT
	404 W Superior St Ste 210, Duluth, MN 55802-1569
	(218) 606-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ann Evertz
Gender	Female
Speciality	Marriage & Family Therapist
Location	404 W Superior St Ste 210, 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: 1033827233
Provider Enumeration Date: 11/07/2022
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1456701481
Enrollment ID: I20240103000706

Medical Identifiers

Medical identifiers for Kelly Ann Evertz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033827233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4397 (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. Kelly Ann Evertz allows following entities to bill medicare on her behalf.

Entity Name	Two Rivers Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093486722 PECOS PAC ID: 7416322268 Enrollment ID: O20230407001195

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. Kelly Ann Evertz 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
Kelly Ann Evertz, LMFT 30 Banks Blvd, Silver Bay, MN 55614-1339 Ph: (320) 424-0714	Kelly Ann Evertz, LMFT 404 W Superior St Ste 210, Duluth, MN 55802-1569 Ph: (218) 606-1100

Reviews and Comments

Marriage & Family Therapist in Duluth, MN

Shelley Rorvick, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 302 W Superior St, Suite 508, Duluth, MN 55802 Phone: 218-727-7353
Daniel Hurley, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 714 W College St, Duluth, MN 55811 Phone: 218-724-8815
Ms. Liese Fredericka Von Brauchitsch, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2900 Piedmont Ave, 2900 Piedmont Ave, Duluth, MN 55811 Phone: 218-740-7618
Celleste Schnellbach, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1406 E 2nd St, Duluth, MN 55805 Phone: 218-624-5683 Fax: 218-624-5736
Mr. Dustin Holden, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8 N 2nd Ave E, Suite 310, Duluth, MN 55802 Phone: 218-722-1920 Fax: 218-722-1920
Harper Jade, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 306 W Superior St Ste 1000, Duluth, MN 55802 Phone: 218-481-7660 Fax: 218-216-1452

Kelly Ann Evertz, LMFT - Medicare Couples Therapy in Duluth, MN