Autumn Terlouw, in Centerville, MN - Medicare Counselor Provider

Autumn Terlouw, is a medicare enrolled "Counselor - Mental Health" provider in Centerville, Minnesota. Her current practice location is 7041 20th Ave, Centerville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 407-3631.

Autumn Terlouw 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 1083062459.

Contact Information

	Autumn Terlouw,
	7041 20th Ave, Centerville, MN 55038-9737
	(651) 407-3631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Autumn Terlouw
Gender	Female
Speciality	Counselor - Mental Health
Location	7041 20th Ave, Centerville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083062459
Provider Enumeration Date: 05/26/2016
Last Update Date: 05/26/2016

Medicare PECOS Information:

PECOS PAC ID: 6507203429
Enrollment ID: I20240327000437

Medical Identifiers

Medical identifiers for Autumn Terlouw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083062459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Autumn Terlouw allows following entities to bill medicare on her behalf.

Entity Name	Minnesota Teen Challenge, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831574797 PECOS PAC ID: 0840656856 Enrollment ID: O20230517002547

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. Autumn Terlouw 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
Autumn Terlouw, 7041 20th Ave, Centerville, MN 55038-9737 Ph: () -	Autumn Terlouw, 7041 20th Ave, Centerville, MN 55038-9737 Ph: (651) 407-3631

Reviews and Comments

Counselor in Centerville, MN

Erica Reina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631
Heidi Marie Spetzman, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 612-924-3807
Xong Vang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 Fax: 651-407-3751
Judith Booth Reinhardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 Fax: 651-407-3751
Mrs. Jennifer Lynn Larkey I, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 612-599-3811
Molly Jean Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7041 20th Ave, Centerville, MN 55038 Phone: 651-407-3631 Fax: 651-407-3751

Autumn Terlouw, - Medicare Counselor in Centerville, MN