Daniel Elenz, PSYD, LP is a medicare enrolled "Counselor - Professional" provider in Fridley, Minnesota. His current practice location is
520 Osborne Rd Ne Ste 210, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 236-3800.
Daniel Elenz is licensed to practice in Minnesota (license number LP6609) 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 1417558321.
Healthcare Provider's Profile
| Full Name | Daniel Elenz |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 520 Osborne Rd Ne Ste 210, Fridley, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1417558321
- Provider Enumeration Date: 11/06/2020
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406247782
- Enrollment ID: I20211221000848
Medical Identifiers
Medical identifiers for Daniel Elenz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417558321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | LP6609 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | LP6609 (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. Daniel Elenz allows following entities to bill medicare on his behalf.
| Entity Name | North Memorial Health Care |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470 |
|---|
| Entity Name | North Central Ministry Development Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164711735
PECOS PAC ID: 7214346345
Enrollment ID: O20210503000006 |
|---|
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. Daniel Elenz 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 |
|---|
Daniel Elenz, PSYD, LP
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 262-9000 | Daniel Elenz, PSYD, LP
520 Osborne Rd Ne Ste 210,
Fridley, MN 55432-2718
Ph: (763) 236-3800 |
Reviews and Comments