Leslie Allene Wise, MS, LPCC in Minneapolis, MN

Leslie Allene Wise, MS, LPCC is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. Her current practice location is 4027 County Road 25, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 925-6033.

Leslie Allene Wise is licensed to practice in Minnesota (license number 3706) 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 1013615145.

Contact Information

	Leslie Allene Wise, MS, LPCC
	4027 County Road 25, Minneapolis, MN 55416-2629
	(612) 925-6033
	(612) 925-8496

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Allene Wise
Gender	Female
Speciality	Counselor - Professional
Location	4027 County Road 25, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013615145
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6901259787
Enrollment ID: I20240129000843

Medical Identifiers

Medical identifiers for Leslie Allene Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013615145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3706 (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. Leslie Allene Wise allows following entities to bill medicare on her behalf.

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

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. Leslie Allene Wise 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
Leslie Allene Wise, MS, LPCC 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Leslie Allene Wise, MS, LPCC 4027 County Road 25, Minneapolis, MN 55416-2629 Ph: (612) 925-6033

Reviews and Comments

Counselor in Minneapolis, MN

Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058
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Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209

Leslie Allene Wise, MS, LPCC - Medicare Counselor in Minneapolis, MN