Emily Ann Groteboer-distad, MS, LPCC, NCC in Rosemount, MN

Emily Ann Groteboer-distad, MS, LPCC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Rosemount, Minnesota. Her current practice location is 15265 Carrousel Way Ste 100, Rosemount, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 443-4600.

Emily Ann Groteboer-distad is licensed to practice in Minnesota (license number CC02555) 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 1942855408.

Contact Information

	Emily Ann Groteboer-distad, MS, LPCC, NCC
	15265 Carrousel Way Ste 100, Rosemount, MN 55068-1760
	(952) 443-4600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Ann Groteboer-distad
Gender	Female
Speciality	Counselor - Mental Health
Location	15265 Carrousel Way Ste 100, Rosemount, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942855408
Provider Enumeration Date: 08/01/2019
Last Update Date: 01/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8921444258
Enrollment ID: I20240308003472

Medical Identifiers

Medical identifiers for Emily Ann Groteboer-distad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942855408	NPI	-	NPPES
NA	Other		NA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	CC02555 (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. Emily Ann Groteboer-distad allows following entities to bill medicare on her behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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. Emily Ann Groteboer-distad 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
Emily Ann Groteboer-distad, MS, LPCC, NCC Po Box 51, Victoria, MN 55386-0051 Ph: (952) 443-4600	Emily Ann Groteboer-distad, MS, LPCC, NCC 15265 Carrousel Way Ste 100, Rosemount, MN 55068-1760 Ph: (952) 443-4600

Reviews and Comments

Counselor in Rosemount, MN

Kimberly Swanson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14325 Cormorant Way, Rosemount, MN 55068 Phone: 612-532-8455
Mr. Brian Paul Ario, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12802 S Robert Trl, Rosemount, MN 55068 Phone: 952-388-4110
Jennifer Ario, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12802 S Robert Trl, Rosemount, MN 55068 Phone: 952-388-4850
Kelly J Kivel, LPCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600
Mrs. Christina Anne Preston, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600 Fax: 952-443-4604
Alyssa Rose Kittleson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 15265 Carrousel Way, Rosemount, MN 55068 Phone: 952-443-4600
Madeline Bullock, Counselor Medicare: Medicare Enrolled Practice Location: 2802 145th St W, Rosemount, MN 55068 Phone: 651-387-0616

Emily Ann Groteboer-distad, MS, LPCC, NCC - Medicare Counselor in Rosemount, MN