Dr Maryanne Anne Lassegard, PHD LP is a medicare enrolled "Psychologist - Clinical" provider in Shoreview, Minnesota. She graduated from healthcare school in 1991 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
521 Tanglewood Dr, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 306-4721.
Dr Maryanne Anne Lassegard is licensed to practice in Minnesota (license number LP2187) 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 1982689592.
Healthcare Provider's Profile
| Full Name | Dr Maryanne Anne Lassegard |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 35 Years |
|---|
| Location | 521 Tanglewood Dr, Shoreview, Minnesota |
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| 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:
- Dr Maryanne Anne Lassegard graduated from medical school in 1991
NPI Data:
- NPI Number: 1982689592
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 02/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 1658319272
- Enrollment ID: I20111108000740
Medical Identifiers
Medical identifiers for Dr Maryanne Anne Lassegard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982689592 | NPI | - | NPPES |
| 854806 | Other | MN | ARAZ |
| 08S11LU | Other | FM | BCBS |
| 031016600 | Medicaid | MN | |
| 57610 | Other | MN | CIGNA |
| 6124240 | Other | FM | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LP2187 (Minnesota) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | LP2187 (Minnesota) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP2187 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP2187 (Minnesota) | Primary |
| 103TC1900X | Psychologist - Counseling | LP2187 (Minnesota) | Secondary |
| 103TF0000X | Psychologist - Family | LP2187 (Minnesota) | Secondary |
| 103TH0100X | Psychologist - Health Service | LP2187 (Minnesota) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | LP2187 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP2187 (Minnesota) | Secondary |
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 Maryanne Anne Lassegard 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 |
|---|
Dr Maryanne Anne Lassegard, PHD LP
3340 Interlachen Dr Ne,
Ham Lake, MN 55304-4507
Ph: (763) 434-6570 | Dr Maryanne Anne Lassegard, PHD LP
521 Tanglewood Dr,
Shoreview, MN 55126-2016
Ph: (612) 306-4721 |
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