Nicholas Weidner, in Eagan, MN - Medicare Counselor Provider

Nicholas Weidner, is a medicare enrolled "Counselor - Mental Health" provider in Eagan, Minnesota. His current practice location is 860 Blue Gentian Rd Ste 200, Eagan, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 315-5274.

Nicholas Weidner is licensed to practice in Minnesota (license number CC1831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033627716.

Contact Information

	Nicholas Weidner,
	860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567
	(651) 315-5274
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Weidner
Gender	Male
Speciality	Counselor - Mental Health
Location	860 Blue Gentian Rd Ste 200, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033627716
Provider Enumeration Date: 01/17/2018
Last Update Date: 04/25/2026

Medicare PECOS Information:

PECOS PAC ID: 6800232893
Enrollment ID: I20240313000900

Medical Identifiers

Medical identifiers for Nicholas Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033627716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	304455 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	CC1831 (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. Nicholas Weidner allows following entities to bill medicare on his behalf.

Entity Name	Life Development Resources Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902953169 PECOS PAC ID: 5890779847 Enrollment ID: O20040616000985

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. Nicholas Weidner 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
Nicholas Weidner, 13288 Brass Pkwy, Rosemount, MN 55068-2772 Ph: () -	Nicholas Weidner, 860 Blue Gentian Rd Ste 200, Eagan, MN 55121-1567 Ph: (651) 315-5274

Reviews and Comments

Counselor in Eagan, MN

Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897
Matthew Steven Carlson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139
Katherine Ann Mcguire, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970

Nicholas Weidner, - Medicare Counselor in Eagan, MN