Mary Anderson, in Maplewood, MN - Medicare Marriage & Family Therapist Provider

Mary Anderson, is a medicare enrolled "Marriage & Family Therapist" provider in Maplewood, Minnesota. Her current practice location is 2103 B County Road D, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 748-5019.

Mary Anderson is licensed to practice in Minnesota (license number 3779) 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 1124405667.

Contact Information

	Mary Anderson,
	2103 B County Road D, Maplewood, MN 55109
	(651) 748-5019
	(651) 773-7591

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Anderson
Gender	Female
Speciality	Marriage & Family Therapist
Location	2103 B County Road D, Maplewood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124405667
Provider Enumeration Date: 05/05/2015
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1557880085
Enrollment ID: I20250528001091

Medical Identifiers

Medical identifiers for Mary Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124405667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	3779 (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. Mary Anderson allows following entities to bill medicare on her behalf.

Entity Name	Pure Potential Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295357440 PECOS PAC ID: 7911426432 Enrollment ID: O20250528000841

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. Mary Anderson 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
Mary Anderson, 5800 Upper 183rd St W, Farmington, MN 55024-8102 Ph: (612) 743-0715	Mary Anderson, 2103 B County Road D, Maplewood, MN 55109 Ph: (651) 748-5019

Reviews and Comments

Marriage & Family Therapist in Maplewood, MN

Jennifer L Tichenor, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2103 County Road D E, Suite A, Maplewood, MN 55109 Phone: 651-338-9816 Fax: 651-305-0277
Ms. Mary K. Zwack, M.S., LADC, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 101, Maplewood, MN 55109 Phone: 651-770-1311 Fax: 651-770-1879
Lindsay Jordan, M.A. LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3100 Kennard St Ste 250, Maplewood, MN 55109 Phone: 651-313-8080
Mr. Bryan Jarred Cole, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2001 Beam Ave, Maplewood, MN 55109 Phone: 952-737-4520
David Glenn Runion, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E, Suite B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591
Jessica R Baltz, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1856 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-661-6550 Fax: 651-661-6551
Mrs. Erica Jw Kanewischer, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2115 County Road D E # B, Maplewood, MN 55109 Phone: 651-748-5019 Fax: 651-773-7591

Mary Anderson, - Medicare Couples Therapy in Maplewood, MN