Ms Jessica Van Berkum, in White Bear Lake, MN - Medicare Marriage & Family Therapist Provider

Ms Jessica Van Berkum, is a medicare enrolled "Marriage & Family Therapist" provider in White Bear Lake, Minnesota. Her current practice location is 4756 Banning Ave Ste 210, White Bear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 824-3369.

Ms Jessica Van Berkum is licensed to practice in Minnesota (license number ) 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 1740682798.

Contact Information

	Ms Jessica Van Berkum,
	4756 Banning Ave Ste 210, White Bear Lake, MN 55110-3206
	(612) 824-3369
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Van Berkum
Gender	Female
Speciality	Marriage & Family Therapist
Location	4756 Banning Ave Ste 210, White Bear Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740682798
Provider Enumeration Date: 09/22/2014
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0042758831
Enrollment ID: I20240812001502

Medical Identifiers

Medical identifiers for Ms Jessica Van Berkum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740682798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(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. Ms Jessica Van Berkum allows following entities to bill medicare on her behalf.

Entity Name	Grander Peace Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013486505 PECOS PAC ID: 6204173362 Enrollment ID: O20190128001439

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. Ms Jessica Van Berkum 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
Ms Jessica Van Berkum, 1378 Top Ln, White Bear Lake, MN 55110-3620 Ph: (612) 568-2248	Ms Jessica Van Berkum, 4756 Banning Ave Ste 210, White Bear Lake, MN 55110-3206 Ph: (612) 824-3369

Reviews and Comments

Marriage & Family Therapist in White Bear Lake, MN

Brienna Lee Schwartz, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-756-7590
Amanda Jean Vaske, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 211, White Bear Lake, MN 55110 Phone: 651-329-1266 Fax: 651-846-5312
David Phillip Halper, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-756-7590
Julie Kraai, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1895 County Road E E Ste 214, White Bear Lake, MN 55110 Phone: 651-226-8950
Samuel David Tosteson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4711 Bald Eagle Ave, White Bear Lake, MN 55110 Phone: 651-587-7145
Diane Lynn Hovey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4505 White Bear Pkwy Ste 1500, White Bear Lake, MN 55110 Phone: 651-493-8150 Fax: 651-493-9335
Emily Jordan Jensen, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 104c, White Bear Lake, MN 55110 Phone: 651-243-2747

Ms Jessica Van Berkum, - Medicare Couples Therapy in White Bear Lake, MN