Mason E Vanrossum, LPC is a medicare enrolled "Counselor - Professional" provider in Green Bay, Wisconsin. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
480 Pilgrim Way # 1300-a, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 610-5119.
Mason E Vanrossum is licensed to practice in Wisconsin (license number 11795) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881433506.
Healthcare Provider's Profile
| Full Name | Mason E Vanrossum |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 3 Years |
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| Location | 480 Pilgrim Way # 1300-a, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mason E Vanrossum graduated from medical school in 2023
NPI Data:
- NPI Number: 1881433506
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123531829
- Enrollment ID: I20250626003547
Medical Identifiers
Medical identifiers for Mason E Vanrossum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881433506 | NPI | - | NPPES |
| 100277298 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 7475-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 11795 (Wisconsin) | Primary |
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. Mason E Vanrossum 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 |
|---|
Mason E Vanrossum, LPC
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 628-9566 | Mason E Vanrossum, LPC
480 Pilgrim Way # 1300-a,
Green Bay, WI 54304-5280
Ph: (920) 610-5119 |
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