Courtney Van Den Bussche-doll, LPCC in Detroit Lakes, MN

Courtney Van Den Bussche-doll, LPCC is a medicare enrolled "Counselor - Professional" provider in Detroit Lakes, Minnesota. Her current practice location is 1041 Hawk St, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 844-6853.

Courtney Van Den Bussche-doll is licensed to practice in Minnesota (license number CC02001) 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 1699246983.

Contact Information

	Courtney Van Den Bussche-doll, LPCC
	1041 Hawk St, Detroit Lakes, MN 56501-6958
	(218) 844-6853
	(218) 844-6854

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Van Den Bussche-doll
Gender	Female
Speciality	Counselor - Professional
Location	1041 Hawk St, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699246983
Provider Enumeration Date: 12/11/2018
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 9537604087
Enrollment ID: I20240709003904

Medical Identifiers

Medical identifiers for Courtney Van Den Bussche-doll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699246983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC02001 (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 Van Den Bussche-doll allows following entities to bill medicare on her behalf.

Entity Name	Shari Phillips, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023691896 PECOS PAC ID: 9537509336 Enrollment ID: O20240709002248

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 Van Den Bussche-doll 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 Van Den Bussche-doll, LPCC 1547 30th Ave S, Moorhead, MN 56560-5149 Ph: (218) 287-4338	Courtney Van Den Bussche-doll, LPCC 1041 Hawk St, Detroit Lakes, MN 56501-6958 Ph: (218) 844-6853

Reviews and Comments

Counselor in Detroit Lakes, MN

Whitney Kaytlin Warren, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9729 Fax: 218-844-7754
Angela D Horner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-4491
Mrs. Erica Yvonne Hanson, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 211 Holmes St W Ste 302, Detroit Lakes, MN 56501 Phone: 218-847-0629
Lola Marie Booth, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 8th St Se, Detroit Lakes, MN 56501 Phone: 218-844-9730
Colton John Friesen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 928 8th St Se, Detroit Lakes, MN 56501 Phone: 218-847-1676
Jessica Rae Moench, LADC, OWNER/DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 8th St Se Ste A, Detroit Lakes, MN 56501 Phone: 218-847-0696 Fax: 218-847-4198
Krystal Marie Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 28579 Us Highway 10, Detroit Lakes, MN 56501 Phone: 218-847-1329

Courtney Van Den Bussche-doll, LPCC - Medicare Counselor in Detroit Lakes, MN