Zachary Cole Dorholt, BA in Saint Cloud, MN - Medicare Counselor Provider

Zachary Cole Dorholt, BA is a medicare enrolled "Counselor - Mental Health" provider in Saint Cloud, Minnesota. His current practice location is 1321 13th St N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 252-5010.

Zachary Cole Dorholt is licensed to practice in * (Not Available) (license number ) 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 1114105699.

Contact Information

	Zachary Cole Dorholt, BA
	1321 13th St N, Saint Cloud, MN 56303-2613
	(320) 252-5010
	(320) 203-1855

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary Cole Dorholt
Gender	Male
Speciality	Counselor - Mental Health
Location	1321 13th St N, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114105699
Provider Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008

Medicare PECOS Information:

PECOS PAC ID: 2860845492
Enrollment ID: I20240130002131

Medical Identifiers

Medical identifiers for Zachary Cole Dorholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114105699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Zachary Cole Dorholt allows following entities to bill medicare on his behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	St Cloud Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134

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. Zachary Cole Dorholt 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
Zachary Cole Dorholt, BA 1321 13th St N, Saint Cloud, MN 56303-2613 Ph: (320) 252-5010	Zachary Cole Dorholt, BA 1321 13th St N, Saint Cloud, MN 56303-2613 Ph: (320) 252-5010

Reviews and Comments

Counselor in Saint Cloud, MN

Emmanuel Oppong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Wilson Ave Ne Ste 209, Saint Cloud, MN 56304 Phone: 320-237-6996
Billy M Anderson, LICSW LADC Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne, 209, Saint Cloud, MN 56304 Phone: 320-259-7706 Fax: 320-251-4590
Miss Abigail Rae Charlson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 13th St N, Saint Cloud, MN 56303 Phone: 320-252-5010
Benedict A Walz, MS MDV MAC LADC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301 Phone: 320-252-5781 Fax: 320-252-5001
Tonya Sharon Klug, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 13th St N, Saint Cloud, MN 56303 Phone: 320-252-5010 Fax: 320-203-1855
Nasro Aden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 612-707-7530
Laylo Salad Guled, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358

Zachary Cole Dorholt, BA - Medicare Counselor in Saint Cloud, MN