Angela Rose Ackerman, LPCC is a medicare enrolled "Counselor - Mental Health" provider in St. Cloud, Minnesota. Her current practice location is
3400 1st Street N, Suite 101, St. Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 268-5858.
Angela Rose Ackerman is licensed to practice in * (Not Available) (license number ) 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 1235644386.
Healthcare Provider's Profile
| Full Name | Angela Rose Ackerman |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3400 1st Street N, Suite 101, St. Cloud, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235644386
- Provider Enumeration Date: 12/12/2017
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850730763
- Enrollment ID: I20240411002259
Medical Identifiers
Medical identifiers for Angela Rose Ackerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235644386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | CC01666 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Angela Rose Ackerman allows following entities to bill medicare on her behalf.
| Entity Name | Affinity Psychological Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245610856
PECOS PAC ID: 0749528552
Enrollment ID: O20190220001363 |
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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. Angela Rose Ackerman 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 |
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Angela Rose Ackerman, LPCC
2320 Highway 12 E Ste 2,
Willmar, MN 56201-5811
Ph: (320) 214-9692 | Angela Rose Ackerman, LPCC
3400 1st Street N, Suite 101,
St. Cloud, MN 56303
Ph: (612) 268-5858 |
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