Melissa Wetterlund, MA, LP, LMFT is a medicare enrolled "Psychologist" provider in Blaine, Minnesota. Her current practice location is
4255 Pheasant Ridge Dr Ne Ste 412, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 703-3749.
Melissa Wetterlund is licensed to practice in Minnesota (license number LP 5014) 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 1659413599.
Healthcare Provider's Profile
Full Name | Melissa Wetterlund |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, 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: 1659413599
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 04/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507218666
- Enrollment ID: I20240116000810
Medical Identifiers
Medical identifiers for Melissa Wetterlund such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659413599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT 1867 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT1867 (Minnesota) | Secondary |
103T00000X | Psychologist | LP 5014 (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. Melissa Wetterlund allows following entities to bill medicare on her behalf.
Entity Name | Melissa K Wetterlund Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588309181 PECOS PAC ID: 5698127751 Enrollment ID: O20240115000825 |
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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. Melissa Wetterlund 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 |
Melissa Wetterlund, MA, LP, LMFT 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 Ph: (763) 703-3749 | Melissa Wetterlund, MA, LP, LMFT 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449-5066 Ph: (763) 703-3749 |
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