Emmalynn Pepper Clemmensen, MS, LPCC, CRC in Buffalo, MN

Emmalynn Pepper Clemmensen, MS, LPCC, CRC is a medicare enrolled "Counselor - Mental Health" provider in Buffalo, Minnesota. Her current practice location is 308 12th Ave S, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 682-4400.

Emmalynn Pepper Clemmensen is licensed to practice in Minnesota (license number CC01534) 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 1053831248.

Contact Information

	Emmalynn Pepper Clemmensen, MS, LPCC, CRC
	308 12th Ave S, Buffalo, MN 55313-2321
	(763) 682-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emmalynn Pepper Clemmensen
Gender	Female
Speciality	Counselor - Mental Health
Location	308 12th Ave S, Buffalo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053831248
Provider Enumeration Date: 06/20/2017
Last Update Date: 06/20/2017

Medicare PECOS Information:

PECOS PAC ID: 7315397783
Enrollment ID: I20231227001901

Medical Identifiers

Medical identifiers for Emmalynn Pepper Clemmensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053831248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC01534 (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. Emmalynn Pepper Clemmensen allows following entities to bill medicare on her behalf.

Entity Name	Fernbrook Family Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278

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. Emmalynn Pepper Clemmensen 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
Emmalynn Pepper Clemmensen, MS, LPCC, CRC 308 12th Ave S, Buffalo, MN 55313-2321 Ph: (763) 682-4400	Emmalynn Pepper Clemmensen, MS, LPCC, CRC 308 12th Ave S, Buffalo, MN 55313-2321 Ph: (763) 682-4400

Reviews and Comments

Counselor in Buffalo, MN

Olivia Mckay Wolff-herda, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Central Ave, Buffalo, MN 55313 Phone: 763-250-7357 Fax: 855-221-4223
Jennifer Ann Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Kayla Kristine Levtzow, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Holly Rae Fanning, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Rodney Wade Twedell, BA, CPRP, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Amanda Lea Szulczewski, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353

Emmalynn Pepper Clemmensen, MS, LPCC, CRC - Medicare Counselor in Buffalo, MN