Stephanie Mackissock, LMFT in Little Falls, MN - Medicare Marriage & Family Therapist Provider

Stephanie Mackissock, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Little Falls, Minnesota. Her current practice location is 15088 22nd Ave Ne, Little Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 630-2782.

Stephanie Mackissock is licensed to practice in Minnesota (license number 3568) 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 1750855227.

Contact Information

	Stephanie Mackissock, LMFT
	15088 22nd Ave Ne, Little Falls, MN 56345-4199
	(320) 630-2782
	(888) 892-4587

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Mackissock
Gender	Female
Speciality	Marriage & Family Therapist
Location	15088 22nd Ave Ne, Little Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750855227
Provider Enumeration Date: 01/17/2019
Last Update Date: 12/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2466988860
Enrollment ID: I20241209003255

Medical Identifiers

Medical identifiers for Stephanie Mackissock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750855227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3568 (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. Stephanie Mackissock allows following entities to bill medicare on her behalf.

Entity Name	Mind And Body Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912752403 PECOS PAC ID: 0648706044 Enrollment ID: O20241209003128

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. Stephanie Mackissock 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
Stephanie Mackissock, LMFT 6568 230th St, Randall, MN 56475-2414 Ph: (320) 630-2782	Stephanie Mackissock, LMFT 15088 22nd Ave Ne, Little Falls, MN 56345-4199 Ph: (320) 630-2782

Reviews and Comments

Marriage & Family Therapist in Little Falls, MN

Miss Alexis Megan Stuve, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 16016 233rd St, Little Falls, MN 56345 Phone: 320-632-5524 Fax: 888-991-2741
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Kiersten Lee Wimmer, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 16016 233rd St, Little Falls, MN 56345 Phone: 320-632-5524 Fax: 888-991-2741
Pamela Walz, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 16016 233rd St, Little Falls, MN 56345 Phone: 320-632-5524 Fax: 888-991-2741
Elisabeth Ruby, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1906 5th Ave Se, Little Falls, MN 56345 Phone: 320-632-6647
Mrs. Kathleen Mary Anderson, M.S. Couples Therapy Medicare: Medicare Enrolled Practice Location: 13194 Hillview Ln, Little Falls, MN 56345 Phone: 320-224-1853 Fax: 320-632-4517

Stephanie Mackissock, LMFT - Medicare Couples Therapy in Little Falls, MN