Ellen Oppold, MA, LPC-MH, QMHP - Medicare Counselor in Tea, SD

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Ellen Oppold, MA, LPC-MH, QMHP is a medicare enrolled "Counselor - Mental Health" provider in Tea, South Dakota. Her current practice location is 317 N Heritage Ave, Tea, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 494-1500.

Ellen Oppold is licensed to practice in South Dakota (license number LPC20556) 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 1942824073.

Contact Information

Ellen Oppold, MA, LPC-MH, QMHP
317 N Heritage Ave,
Tea, SD 57064-2539
(605) 494-1500
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEllen Oppold
GenderFemale
SpecialityCounselor - Mental Health
Location317 N Heritage Ave, Tea, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942824073
  • Provider Enumeration Date: 06/04/2020
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204270374
  • Enrollment ID: I20240216000537

Medical Identifiers

Medical identifiers for Ellen Oppold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942824073NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC-MH30624 (South Dakota)Secondary
101YM0800XCounselor - Mental Health LPC20556 (South Dakota)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. Ellen Oppold allows following entities to bill medicare on her behalf.
Entity NameRising Hope Counseling, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780190967
PECOS PAC ID: 3274958640
Enrollment ID: O20200731001828

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. Ellen Oppold 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 AddressPractice Location Address
Ellen Oppold, MA, LPC-MH, QMHP
317 N Heritage Ave,
Tea, SD 57064-2539

Ph: (605) 494-1500		Ellen Oppold, MA, LPC-MH, QMHP
317 N Heritage Ave,
Tea, SD 57064-2539

Ph: (605) 494-1500

Reviews and Comments


Counselor in Tea, SD

Maranda Joy Hardwick, LPC-MH
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 317 N Heritage Ave, Tea, SD 57064
Phone: 605-494-1500    
Bonnie Jean Haack, LPC-MH
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 125 W 1st St, Tea, SD 57064
Phone: 605-777-1898    Fax: 605-777-1899
Jaici Schultz,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 317 Co Hwy 106, Tea, SD 57064
Phone: 712-899-4901    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.