Kyan Bodden, in Bloomington, MN - Medicare Clinical Social Worker Provider

Kyan Bodden, is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Minnesota. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairview Express Care, Lyn-lake Psychotherapy And Wellness Ltd and her current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 428-1800.

Kyan Bodden is licensed to practice in Minnesota (license number 16457) 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 1194034686.

Contact Information

	Kyan Bodden,
	7920 Old Cedar Ave S, Bloomington, MN 55425-1207
	(952) 428-1800
	(952) 428-1723

Map and Direction

Healthcare Provider's Profile

Full Name	Kyan Bodden
Gender	Female
Speciality	Clinical Social Worker
Experience	15 Years
Location	7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyan Bodden graduated from medical school in 2009

NPI Data:

NPI Number: 1194034686
Provider Enumeration Date: 09/30/2010
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4284814401
Enrollment ID: I20110204000789

Medical Identifiers

Medical identifiers for Kyan Bodden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194034686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	16457 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1523
Lyn-lake Psychotherapy And Wellness Ltd	9638581291	30

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. Kyan Bodden allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	Lyn-lake Psychotherapy And Wellness Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071

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. Kyan Bodden 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
Kyan Bodden, Po Box 43, Minneapolis, MN 55440-0043 Ph: (612) 262-1166	Kyan Bodden, 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 Ph: (952) 428-1800

Reviews and Comments

Social Worker in Bloomington, MN

Clare Eileen Schuetz, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 612-400-6173 Fax: 612-728-5301
Cassandra Lynn Moorhead Ayub, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Suite 1, Bloomington, MN 55425 Phone: 952-737-6202 Fax: 612-728-5301
Sean Alexander Pagoada, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9911 Brookside Ave, Bloomington, MN 55431 Phone: 305-562-9874
Maria Angelica Keller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 American Blvd E Ste 134, Bloomington, MN 55420 Phone: 651-338-0913
Sarah Thukral, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267
Megan Ferge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015
Emma Mae Buckingham, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2299

Kyan Bodden, - Medicare Clinical Social Worker in Bloomington, MN