Jordan Bolstad, MED, LPCC in Wadena, MN - Medicare Counselor Provider

Jordan Bolstad, MED, LPCC is a medicare enrolled "Counselor - Professional" provider in Wadena, Minnesota. Her current practice location is 116 Ash Ave Nw Ste 2, Wadena, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 632-4300.

Jordan Bolstad is licensed to practice in Minnesota (license number CC03366) 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 1760054027.

Contact Information

	Jordan Bolstad, MED, LPCC
	116 Ash Ave Nw Ste 2, Wadena, MN 56482-1367
	(218) 632-4300
	(188) 849-4151

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Bolstad
Gender	Female
Speciality	Counselor - Professional
Location	116 Ash Ave Nw Ste 2, Wadena, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760054027
Provider Enumeration Date: 07/15/2021
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5698156982
Enrollment ID: I20240709003080

Medical Identifiers

Medical identifiers for Jordan Bolstad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760054027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	CC03366 (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. Jordan Bolstad 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. Jordan Bolstad 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
Jordan Bolstad, MED, LPCC 116 Ash Ave Nw Ste 2, Wadena, MN 56482-1367 Ph: (218) 632-4300	Jordan Bolstad, MED, LPCC 116 Ash Ave Nw Ste 2, Wadena, MN 56482-1367 Ph: (218) 632-4300

Reviews and Comments

Counselor in Wadena, MN

William John Dorholt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Suite 1, Wadena, MN 56482 Phone: 218-631-1714 Fax: 218-631-4228
Patrick Zerwas, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Jefferson St S, Wadena, MN 56482 Phone: 218-820-0942
Erin Riemer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Suite 1, Wadena, MN 56482 Phone: 218-631-1714 Fax: 218-631-4228
Jordana Pearson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, 1, Wadena, MN 56482 Phone: 218-631-1714
Mr. David Eugene Sanderson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12214 200th St, Wadena, MN 56482 Phone: 218-631-3610 Fax: 218-631-3917
Patricia Godwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 2nd St Sw, Wadena, MN 56482 Phone: 218-631-1714
Brooke Martinez, M.S. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 Shady Lane Dr, Wadena, MN 56482 Phone: 182-319-6008 Fax: 218-632-6583

Jordan Bolstad, MED, LPCC - Medicare Counselor in Wadena, MN