Dr Mari Robyn Tankenoff, LMHC, LPCC, LP is a medicare enrolled "Psychologist - Counseling" provider in Minneapolis, Minnesota. Her current practice location is
621 W Lake St Ste 350, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 979-2276.
Dr Mari Robyn Tankenoff is licensed to practice in Minnesota (license number LP3024) 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 1174719280.
Healthcare Provider's Profile
| Full Name | Dr Mari Robyn Tankenoff |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 621 W Lake St Ste 350, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174719280
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 01/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 5698298701
- Enrollment ID: I20250331000428
Medical Identifiers
Medical identifiers for Dr Mari Robyn Tankenoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174719280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LPCC0112771 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | 009443 (New York) | Secondary |
| 103TC1900X | Psychologist - Counseling | LP3024 (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. Dr Mari Robyn Tankenoff allows following entities to bill medicare on her behalf.
| Entity Name | Lyn-lake Psychotherapy And Wellness Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609355163
PECOS PAC ID: 9638581291
Enrollment ID: O20201224000071 |
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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. Dr Mari Robyn Tankenoff 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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Dr Mari Robyn Tankenoff, LMHC, LPCC, LP
15542 Sussex Dr,
Minnetonka, MN 55345-1457
Ph: (505) 204-0569 | Dr Mari Robyn Tankenoff, LMHC, LPCC, LP
621 W Lake St Ste 350,
Minneapolis, MN 55408-2952
Ph: (612) 979-2276 |
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