Nicholas Weidner, in Lakeville, MN - Medicare Counselor Provider

Nicholas Weidner, is a medicare enrolled "Counselor - Mental Health" provider in Lakeville, Minnesota. His current practice location is 7580 160th St W, Lakeville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 898-1133.

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,
	7580 160th St W, Lakeville, MN 55044-8348
	(952) 898-1133
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Weidner
Gender	Male
Speciality	Counselor - Mental Health
Location	7580 160th St W, Lakeville, 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: 12/06/2019

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, 7580 160th St W, Lakeville, MN 55044-8348 Ph: (952) 898-1133

Reviews and Comments

Counselor in Lakeville, MN

Heather Leann Wegner, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16233 Kenyon Ave, Lakeville, MN 55044 Phone: 800-438-1772 Fax: 262-293-9737
Anna Marie Groen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St. W.,, Lakeville, MN 55044 Phone: 952-564-6281 Fax: 952-435-6797
Jennifer Tessness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133
Emma J Gunhus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8670 210th St W, Lakeville, MN 55044 Phone: 800-438-1772 Fax: 262-345-5562
Ms. Julia Swedberg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10591 165th St W, Lakeville, MN 55044 Phone: 952-898-1133 Fax: 952-435-6797
Tracy Kotval, MA, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10535 165th St W, Lakeville, MN 55044 Phone: 612-787-2297

Nicholas Weidner, - Medicare Counselor in Lakeville, MN