Sara Joanne Pahl, BCBA, LPCC is a medicare enrolled "Behavior Analyst" provider in Lakeville, Minnesota. Her current practice location is
10450 185th St W Ste 100, Lakeville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 509-6690.
Sara Joanne Pahl is licensed to practice in * (Not Available) (license number ) 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 1194085746.
Healthcare Provider's Profile
| Full Name | Sara Joanne Pahl |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 10450 185th St W Ste 100, Lakeville, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194085746
- Provider Enumeration Date: 05/16/2012
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4486091311
- Enrollment ID: I20240327000920
Medical Identifiers
Medical identifiers for Sara Joanne Pahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194085746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | CC01517 (Minnesota) | Secondary |
| 103K00000X | Behavior Analyst | (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sara Joanne Pahl allows following entities to bill medicare on her behalf.
| Entity Name | Autism Society Of Minnesota |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447236609 PECOS PAC ID: 8224921242 Enrollment ID: O20040204000474 |
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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. Sara Joanne Pahl 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 |
Sara Joanne Pahl, BCBA, LPCC 4524 Terracewood Dr, Bloomington, MN 55437-3444 Ph: (206) 226-7919 | Sara Joanne Pahl, BCBA, LPCC 10450 185th St W Ste 100, Lakeville, MN 55044-6696 Ph: (612) 509-6690 |
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