Eliza Woodward Hartley, in Mendota Heights, MN

Eliza Woodward Hartley, is a medicare enrolled "Counselor" provider in Mendota Heights, Minnesota. Her current practice location is 1155 Northland Dr, Mendota Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 223-8898.

Eliza Woodward Hartley is licensed to practice in * (Not Available) (license number ) 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 1215671557.

Contact Information

	Eliza Woodward Hartley,
	1155 Northland Dr, Mendota Heights, MN 55120-1288
	(612) 223-8898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eliza Woodward Hartley
Gender	Female
Speciality	Counselor
Location	1155 Northland Dr, Mendota Heights, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215671557
Provider Enumeration Date: 04/22/2022
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9739601303
Enrollment ID: I20250324002434

Medical Identifiers

Medical identifiers for Eliza Woodward Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215671557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	(* (Not Available))	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. Eliza Woodward Hartley allows following entities to bill medicare on her behalf.

Entity Name	Grander Peace Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013486505 PECOS PAC ID: 6204173362 Enrollment ID: O20190128001439

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. Eliza Woodward Hartley 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
Eliza Woodward Hartley, 5 Sparrow Ln, North Oaks, MN 55127-6453 Ph: (651) 492-4770	Eliza Woodward Hartley, 1155 Northland Dr, Mendota Heights, MN 55120-1288 Ph: (612) 223-8898

Reviews and Comments

Counselor in Mendota Heights, MN

Madeline Rae Sandeen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1370 Mendota Heights Rd, Mendota Heights, MN 55120 Phone: 952-260-3244
Andrew Ryan Horowitz, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sibley Memorial Hwy Ste 250, Mendota Heights, MN 55118 Phone: 651-698-7358
Michelle Marie Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Centre Pointe Dr Ste 8, Mendota Heights, MN 55120 Phone: 651-461-8033
Olivia Lauren Meier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 Centre Pointe Drive, Ste 7, Mendota Heights, MN 55120 Phone: 952-401-9359
Sarah Lucille Boudreau Ebner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Centre Pointe Dr Ste 8, Mendota Heights, MN 55120 Phone: 651-461-8033 Fax: 651-461-8034
Mrs. Linda Santa Cruz, Counselor Medicare: Medicare Enrolled Practice Location: 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120 Phone: 651-379-9800

Eliza Woodward Hartley, - Medicare Counselor in Mendota Heights, MN