Marissa Anne Smook, LPCC in Fridley, MN - Medicare Counselor Provider

Marissa Anne Smook, LPCC is a medicare enrolled "Counselor - Professional" provider in Fridley, Minnesota. Her current practice location is 7954 University Ave Ne, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-3036.

Marissa Anne Smook is licensed to practice in Minnesota (license number CC04025) 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 1639957004.

Contact Information

	Marissa Anne Smook, LPCC
	7954 University Ave Ne, Fridley, MN 55432-1860
	(763) 780-3036
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Anne Smook
Gender	Female
Speciality	Counselor - Professional
Location	7954 University Ave Ne, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639957004
Provider Enumeration Date: 09/18/2023
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 2668993064
Enrollment ID: I20250228003179

Medical Identifiers

Medical identifiers for Marissa Anne Smook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639957004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC04025 (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. Marissa Anne Smook allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Marissa Anne Smook 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
Marissa Anne Smook, LPCC 7954 University Ave Ne, Fridley, MN 55432-1860 Ph: (763) 780-3036	Marissa Anne Smook, LPCC 7954 University Ave Ne, Fridley, MN 55432-1860 Ph: (763) 780-3036

Reviews and Comments

Counselor in Fridley, MN

Mohamed Hassan Ahmed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6599 Channel Rd Ne, Fridley, MN 55432 Phone: 763-318-4122
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105
Matthew John Fritscher, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
David Alan Wood, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288

Marissa Anne Smook, LPCC - Medicare Counselor in Fridley, MN