Ms Melissa Ann Bollinger-kinney, MSED LPC is a medicare enrolled "Counselor - Mental Health" provider in Plymouth, Minnesota. Her current practice location is
3021 Harbor Ln N Ste 206, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 559-1640.
Ms Melissa Ann Bollinger-kinney is licensed to practice in Minnesota (license number 226) 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 1114074028.
Healthcare Provider's Profile
| Full Name | Ms Melissa Ann Bollinger-kinney |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3021 Harbor Ln N Ste 206, Plymouth, 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: 1114074028
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 10/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901243575
- Enrollment ID: I20240319003345
Medical Identifiers
Medical identifiers for Ms Melissa Ann Bollinger-kinney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114074028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 226 (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. Ms Melissa Ann Bollinger-kinney allows following entities to bill medicare on her behalf.
| Entity Name | The Minnesota Ketamine And Wellness Institute Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003408857
PECOS PAC ID: 9739584855
Enrollment ID: O20210826002931 |
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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. Ms Melissa Ann Bollinger-kinney 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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Ms Melissa Ann Bollinger-kinney, MSED LPC
6369 Polaris Ln N,
Maple Grove, MN 55311-3938
Ph: (612) 508-7115 | Ms Melissa Ann Bollinger-kinney, MSED LPC
3021 Harbor Ln N Ste 206,
Plymouth, MN 55447-5120
Ph: (763) 559-1640 |
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