Breanne Ashly Pedersen, in Traverse City, MI - Medicare Counselor Provider

Breanne Ashly Pedersen, is a medicare enrolled "Counselor - Professional" provider in Traverse City, Michigan. Her current practice location is 3298 Veterans Dr Ste 1, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 715-8466.

Breanne Ashly Pedersen is licensed to practice in Michigan (license number 6401222799) 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 1003433715.

Contact Information

	Breanne Ashly Pedersen,
	3298 Veterans Dr Ste 1, Traverse City, MI 49684-4725
	(231) 715-8466
	(231) 943-2263

Map and Direction

Healthcare Provider's Profile

Full Name	Breanne Ashly Pedersen
Gender	Female
Speciality	Counselor - Professional
Location	3298 Veterans Dr Ste 1, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003433715
Provider Enumeration Date: 06/29/2020
Last Update Date: 06/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5991238438
Enrollment ID: I20241023001022

Medical Identifiers

Medical identifiers for Breanne Ashly Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003433715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178015896 (Illinois)	Secondary
101YP2500X	Counselor - Professional	178015896 (Illinois)	Secondary
101YP2500X	Counselor - Professional	6401222799 (Michigan)	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. Breanne Ashly Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Adaptive Counseling And Case Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588906119 PECOS PAC ID: 8921248139 Enrollment ID: O20130711000836

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. Breanne Ashly Pedersen 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
Breanne Ashly Pedersen, 3298 Veterans Dr Ste 1, Traverse City, MI 49684-4725 Ph: (231) 715-8466	Breanne Ashly Pedersen, 3298 Veterans Dr Ste 1, Traverse City, MI 49684-4725 Ph: (231) 715-8466

Reviews and Comments

Counselor in Traverse City, MI

Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177
Joy Davies, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3032 Parterre Pl, Traverse City, MI 49684 Phone: 248-798-3229
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095

Breanne Ashly Pedersen, - Medicare Counselor in Traverse City, MI