Tarah Lynn Groettum, MSED, LPCC in Eagan, MN - Medicare Counselor Provider

Tarah Lynn Groettum, MSED, LPCC is a medicare enrolled "Counselor - Professional" provider in Eagan, Minnesota. Her current practice location is 1581 Lancaster Ln, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 227-0971.

Tarah Lynn Groettum is licensed to practice in Minnesota (license number CC03223) 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 1417699901.

Contact Information

	Tarah Lynn Groettum, MSED, LPCC
	1581 Lancaster Ln, Eagan, MN 55122-2720
	(612) 227-0971
	(651) 391-2072

Map and Direction

Healthcare Provider's Profile

Full Name	Tarah Lynn Groettum
Gender	Female
Speciality	Counselor - Professional
Location	1581 Lancaster Ln, 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: 1417699901
Provider Enumeration Date: 04/13/2022
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5799135885
Enrollment ID: I20240102003044

Medical Identifiers

Medical identifiers for Tarah Lynn Groettum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417699901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC03223 (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. Tarah Lynn Groettum allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Tarah Lynn Groettum 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
Tarah Lynn Groettum, MSED, LPCC 1581 Lancaster Ln, Eagan, MN 55122-2720 Ph: (612) 227-0971	Tarah Lynn Groettum, MSED, LPCC 1581 Lancaster Ln, Eagan, MN 55122-2720 Ph: (612) 227-0971

Reviews and Comments

Counselor in Eagan, MN

Patricia Moore, Counselor Medicare: Not Enrolled in Medicare 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
Keo Sengsavang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397
Scarlett Heather Oconnell, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8228 Fax: 651-454-3492
Mr. Timothy J. Ruden, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Slater Rd Ste 120, Eagan, MN 55122 Phone: 651-882-5161
Haley Keifer, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Jacob Thomas Minnig, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1471 Highview Ave, Eagan, MN 55121 Phone: 651-233-8379

Tarah Lynn Groettum, MSED, LPCC - Medicare Counselor in Eagan, MN