Michelle Nicole Iversen, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in New Prague, Minnesota. She graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Secure Base Counseling Center Llc and her current practice location is
301 Main St W, New Prague, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 301-3412.
Michelle Nicole Iversen is licensed to practice in Minnesota (license number 2591) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033557152.
Healthcare Provider's Profile
| Full Name | Michelle Nicole Iversen |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 13 Years |
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| Location | 301 Main St W, New Prague, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Nicole Iversen graduated from medical school in 2012
NPI Data:
- NPI Number: 1033557152
- Provider Enumeration Date: 06/11/2013
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204288178
- Enrollment ID: I20240116002917
Medical Identifiers
Medical identifiers for Michelle Nicole Iversen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033557152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 2591 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Secure Base Counseling Center Llc | 8628409299 | 22 |
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. Michelle Nicole Iversen allows following entities to bill medicare on her behalf.
| Entity Name | Secure Base Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285905885
PECOS PAC ID: 8628409299
Enrollment ID: O20200514001997 |
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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. Michelle Nicole Iversen 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 |
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Michelle Nicole Iversen, MA, LMFT
301 Main St W,
New Prague, MN 56071
Ph: (507) 301-3412 | Michelle Nicole Iversen, MA, LMFT
301 Main St W,
New Prague, MN 56071
Ph: (507) 301-3412 |
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