Courtney Caryl Breyer, MA, LADC, LPCC in Bloomington, MN

Courtney Caryl Breyer, MA, LADC, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. Her current practice location is 1701 American Blvd E Ste 4, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 676-1604.

Courtney Caryl Breyer is licensed to practice in Minnesota (license number 2521) 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 1851917728.

Contact Information

	Courtney Caryl Breyer, MA, LADC, LPCC
	1701 American Blvd E Ste 4, Bloomington, MN 55425-1402
	(612) 676-1604
	(612) 379-8235

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Caryl Breyer
Gender	Female
Speciality	Counselor - Mental Health
Location	1701 American Blvd E Ste 4, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851917728
Provider Enumeration Date: 06/17/2020
Last Update Date: 06/17/2020

Medicare PECOS Information:

PECOS PAC ID: 9133571177
Enrollment ID: I20240628000718

Medical Identifiers

Medical identifiers for Courtney Caryl Breyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851917728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	305032 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	2521 (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. Courtney Caryl Breyer allows following entities to bill medicare on her behalf.

Entity Name	Psych Recovery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316189541 PECOS PAC ID: 3779633912 Enrollment ID: O20090610000426

Entity Name	What's On The Brain Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720814205 PECOS PAC ID: 1052846052 Enrollment ID: O20241127003613

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. Courtney Caryl Breyer 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
Courtney Caryl Breyer, MA, LADC, LPCC 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 Ph: (612) 676-1604	Courtney Caryl Breyer, MA, LADC, LPCC 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 Ph: (612) 676-1604

Reviews and Comments

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Courtney Caryl Breyer, MA, LADC, LPCC - Medicare Counselor in Bloomington, MN