Rachael Leanne Gardner, LADC in Lakeville, MN

Rachael Leanne Gardner, LADC is a medicare enrolled "Counselor - Professional" provider in Lakeville, Minnesota. Her current practice location is 17685 Juniper Path Ste 303, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 214-8959.

Rachael Leanne Gardner is licensed to practice in Minnesota (license number 4414) 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 1093427916.

Contact Information

	Rachael Leanne Gardner, LADC
	17685 Juniper Path Ste 303, Lakeville, MN 55044-9821
	(952) 214-8959
	(952) 214-8960

Map and Direction

Healthcare Provider's Profile

Full Name	Rachael Leanne Gardner
Gender	Female
Speciality	Counselor - Professional
Location	17685 Juniper Path Ste 303, 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: 1093427916
Provider Enumeration Date: 12/22/2022
Last Update Date: 06/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4688117104
Enrollment ID: I20240625000793

Medical Identifiers

Medical identifiers for Rachael Leanne Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093427916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	306133 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	4414 (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. Rachael Leanne Gardner allows following entities to bill medicare on her behalf.

Entity Name	Wild Tree Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528451408 PECOS PAC ID: 8426408881 Enrollment ID: O20231227001431

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. Rachael Leanne Gardner 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
Rachael Leanne Gardner, LADC 17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 Ph: () -	Rachael Leanne Gardner, LADC 17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 Ph: (952) 214-8959

Reviews and Comments

Counselor in Lakeville, MN

Heather Leann Wegner, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10567 165th St W, Lakeville, MN 55044 Phone: 527-679-3749 Fax: 855-538-0663
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: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 7580 160th St W, Lakeville, MN 55044 Phone: 952-898-1133
Kelly Lee Wilkinson, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 18484 Kachina Ct, Lakeville, MN 55044 Phone: 952-993-8800
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

Rachael Leanne Gardner, LADC - Medicare Counselor in Lakeville, MN