Douglas Petrie, MA LPCC in Richfield, MN - Medicare Counselor Provider

Douglas Petrie, MA LPCC is a medicare enrolled "Counselor - Mental Health" provider in Richfield, Minnesota. His current practice location is 2400 W 64th St, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 875-5996.

Douglas Petrie is licensed to practice in Minnesota (license number 896) 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 1780087098.

Contact Information

	Douglas Petrie, MA LPCC
	2400 W 64th St, Richfield, MN 55423
	(612) 875-5996
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Petrie
Gender	Male
Speciality	Counselor - Mental Health
Location	2400 W 64th St, Richfield, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780087098
Provider Enumeration Date: 09/30/2014
Last Update Date: 06/18/2018

Medicare PECOS Information:

PECOS PAC ID: 3971013566
Enrollment ID: I20250611004223

Medical Identifiers

Medical identifiers for Douglas Petrie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780087098	NPI	-	NPPES
896	Other	MN	BLUE CROSS BLUE SHIELD
896	Other	MN	HEALTH PARTNERS
896	Other	MN	UCARE
896	Other	MN	MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	896 (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. Douglas Petrie allows following entities to bill medicare on his behalf.

Entity Name	Midwest Center For Personal & Family Development, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433

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. Douglas Petrie 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
Douglas Petrie, MA LPCC 2400 W 64th St, Minneapolis, MN 55423-1001 Ph: (612) 875-5996	Douglas Petrie, MA LPCC 2400 W 64th St, Richfield, MN 55423 Ph: (612) 875-5996

Reviews and Comments

Counselor in Richfield, MN

Angela Kristin Saeger, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6636 Cedar Ave S Ste 380, Richfield, MN 55423 Phone: 612-223-6330 Fax: 612-223-6735
Ann Marie Freeman, MA Counselor Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858
Meron Senbeta, LPCC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7700 Penn Ave S Apt A321, Richfield, MN 55423 Phone: 612-876-0479
Mr. Andrew Thomas Lokers, MA, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7340 Clinton Ave, Richfield, MN 55423 Phone: 612-642-1315
Natalie Jean Taber, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 6636 Cedar Ave S Ste 360, Richfield, MN 55423 Phone: 612-268-5858
Rebecca Jane Ellmann, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6636 Cedar Ave S, Richfield, MN 55423 Phone: 612-512-1085 Fax: 612-268-5858
Jean R Mersberger, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6607 18th Ave S, Suite 101, Richfield, MN 55423 Phone: 612-385-6310

Douglas Petrie, MA LPCC - Medicare Counselor in Richfield, MN