Cassandra Eden Untiedt, LPC in Marion, VA - Medicare Counselor Provider

Cassandra Eden Untiedt, LPC is a medicare enrolled "Counselor - Professional" provider in Marion, Virginia. Her current practice location is 216 Hospital Ave, Marion, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 783-8185.

Cassandra Eden Untiedt is licensed to practice in Virginia (license number 0701012744) 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 1093598286.

Contact Information

	Cassandra Eden Untiedt, LPC
	216 Hospital Ave, Marion, VA 24354-3157
	(276) 783-8185
	(276) 783-5030

Map and Direction

Healthcare Provider's Profile

Full Name	Cassandra Eden Untiedt
Gender	Female
Speciality	Counselor - Professional
Location	216 Hospital Ave, Marion, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093598286
Provider Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 0749624963
Enrollment ID: I20240215002851

Medical Identifiers

Medical identifiers for Cassandra Eden Untiedt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093598286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701012744 (Virginia)	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. Cassandra Eden Untiedt allows following entities to bill medicare on her behalf.

Entity Name	Mount Rogers Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255365599 PECOS PAC ID: 1254387475 Enrollment ID: O20050510001179

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. Cassandra Eden Untiedt 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
Cassandra Eden Untiedt, LPC 770 W Ridge Rd, Wytheville, VA 24382-1187 Ph: (276) 223-3200	Cassandra Eden Untiedt, LPC 216 Hospital Ave, Marion, VA 24354-3157 Ph: (276) 783-8185

Reviews and Comments

Counselor in Marion, VA

Joshua Richardson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1590 N Main St, Marion, VA 24354 Phone: 276-783-8185
James Rodney Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 E Main St, Marion, VA 24354 Phone: 276-783-8185
Tracy Michelle Carter Robinson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 121 Broad St, Marion, VA 24354 Phone: 276-781-5900 Fax: 276-782-9153
Ms. Suzanne Q Yoster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 State St, Marion, VA 24354 Phone: 276-782-1990
Phillip Howard Moser Ii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Hospital Ave, Marion, VA 24354 Phone: 276-783-8185 Fax: 276-783-5030
Alicia Dawn Stellwagen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 State St, Marion, VA 24354 Phone: 276-782-1990 Fax: 276-782-1996

Cassandra Eden Untiedt, LPC - Medicare Counselor in Marion, VA