Transformation House Inc - Medicare Primary Care in Anoka, MN

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Transformation House Inc is a medicare enrolled primary clinic (Counselor - Mental Health) in Anoka, Minnesota. The current practice location for Transformation House Inc is 1410 S Ferry Rd, Anoka, Minnesota. For appointments, you can reach them via phone at (763) 427-7155. The mailing address for Transformation House Inc is 1410 S Ferry Rd, Anoka, Minnesota and phone number is (763) 427-7155.

Transformation House Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417768771. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (763) 427-7155.

Contact Information

Transformation House Inc
1410 S Ferry Rd
Anoka
MN 55303-2164
(763) 427-7155
(763) 427-6084

Map and Direction


Primary Care Clinic Profile

Full NameTransformation House Inc
SpecialityCounselor
Location1410 S Ferry Rd, Anoka, Minnesota
Authorized Official Name and PositionCristian Chiesa (CEO)
Authorized Official Contact7634527011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Transformation House Inc
1410 S Ferry Rd
Anoka
MN 55303-2164

Ph: (763) 427-7155		Transformation House Inc
1410 S Ferry Rd
Anoka
MN 55303-2164

Ph: (763) 427-7155

NPI Details:

NPI Number1417768771
Provider Enumeration Date01/16/2025
Last Update Date01/16/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1850750696
Medicare Enrollment IDO20230711002876

Medical Identifiers

Medical identifiers for Transformation House Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417768771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
101YM0800XCounselor - 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. Transformation House Inc acts as a billing entity for following providers:
Provider NamePatrick W Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417308313
PECOS PAC ID: 2961798996
Enrollment ID: I20190508002361
Provider NameAzie Judith Khan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265012629
PECOS PAC ID: 1557769858
Enrollment ID: I20211015002568
Provider NameChristina Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336803691
PECOS PAC ID: 0345634523
Enrollment ID: I20220304000411
Provider NameChristina Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336803691
PECOS PAC ID: 0345634523
Enrollment ID: I20221122002793
Provider NameJoy Hanna Cloutier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124882519
PECOS PAC ID: 0547607244
Enrollment ID: I20240318000528
Provider NameJennifer Krebsbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790494102
PECOS PAC ID: 3274075023
Enrollment ID: I20240607000837
Provider NameNicole Pauline Salami
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487438321
PECOS PAC ID: 1355874371
Enrollment ID: I20241030000712
Provider NameElizabeth Ann Forrest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598589947
PECOS PAC ID: 1850826132
Enrollment ID: I20241122003080

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.