Brent D Debruyn, LPCC in Andover, MN - Medicare Counselor Provider

Brent D Debruyn, LPCC is a medicare enrolled "Counselor - Professional" provider in Andover, Minnesota. His current practice location is 1714 Bunker Lake Blvd Nw Ste 100, Andover, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 330-2830.

Brent D Debruyn is licensed to practice in Minnesota (license number 3669) 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 1467175505.

Contact Information

	Brent D Debruyn, LPCC
	1714 Bunker Lake Blvd Nw Ste 100, Andover, MN 55304-4091
	(763) 330-2830
	(763) 330-2831

Map and Direction

Healthcare Provider's Profile

Full Name	Brent D Debruyn
Gender	Male
Speciality	Counselor - Professional
Location	1714 Bunker Lake Blvd Nw Ste 100, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467175505
Provider Enumeration Date: 09/23/2022
Last Update Date: 04/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4082137682
Enrollment ID: I20250324003611

Medical Identifiers

Medical identifiers for Brent D Debruyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467175505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	3669 (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. Brent D Debruyn allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Brent D Debruyn 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
Brent D Debruyn, LPCC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566	Brent D Debruyn, LPCC 1714 Bunker Lake Blvd Nw Ste 100, Andover, MN 55304-4091 Ph: (763) 330-2830

Reviews and Comments

Counselor in Andover, MN

Lauren Keating, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Gary Scott Howard, STUDENT/INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw, Molly Professional Center ,phase Ii #207, Andover, MN 55304 Phone: 763-755-6290
Kayla A Akers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Bunker Lake Blvd Nw Ste 108, Andover, MN 55304 Phone: 763-415-7386
Brooke Ann Fleming, MS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598 Fax: 612-235-6447
Kellan Vencil, Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Amanda Christine Hohag, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598
Brian Moore, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1875 Station Pkwy Nw, Andover, MN 55304 Phone: 763-482-9598

Brent D Debruyn, LPCC - Medicare Counselor in Andover, MN