Jonathan Boorman, LMFT in Stillwater, MN - Medicare Marriage & Family Therapist Provider

Jonathan Boorman, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Stillwater, Minnesota. His current practice location is 1875 Northwestern Ave S, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-4840.

Jonathan Boorman is licensed to practice in Minnesota (license number 3232) 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 1063862043.

Contact Information

	Jonathan Boorman, LMFT
	1875 Northwestern Ave S, Stillwater, MN 55082-7534
	(651) 439-4840
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Boorman
Gender	Male
Speciality	Marriage & Family Therapist
Location	1875 Northwestern Ave S, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063862043
Provider Enumeration Date: 06/21/2016
Last Update Date: 06/21/2016

Medicare PECOS Information:

PECOS PAC ID: 2163867193
Enrollment ID: I20240229003253

Medical Identifiers

Medical identifiers for Jonathan Boorman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063862043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3232 (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. Jonathan Boorman allows following entities to bill medicare on his behalf.

Entity Name	Healthwise Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184920753 PECOS PAC ID: 2567685647 Enrollment ID: O20140516001784

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. Jonathan Boorman 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
Jonathan Boorman, LMFT 1380 210th Ave, New Richmond, WI 54017-6132 Ph: (651) 319-1099	Jonathan Boorman, LMFT 1875 Northwestern Ave S, Stillwater, MN 55082-7534 Ph: (651) 439-4840

Reviews and Comments

Marriage & Family Therapist in Stillwater, MN

Elizabeth Mcmillen Campbell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6381 Osgood Ave N Bldg C, Stillwater, MN 55082 Phone: 612-217-4569 Fax: 651-383-4544
Rosemary Ann Senjem, MA LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 305 Greeley St S Ste 105, Stillwater, MN 55082 Phone: 651-337-1038 Fax: 651-337-1038
Diane M Cragoe, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4840
Rachel Ruth Dowling, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1875 Northwester Avenue South, Stillwater, MN 55082 Phone: 165-178-9403 Fax: 651-439-4894
Shante Sookhlall Hanson, LMFT, RN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5995 Oren Ave N Ste 209, Stillwater, MN 55082 Phone: 612-524-9237 Fax: 612-314-8317
Barbara Jean Shock Lemire, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1751 Tower Dr W, Stillwater, MN 55082 Phone: 651-439-2059

Jonathan Boorman, LMFT - Medicare Couples Therapy in Stillwater, MN