Gene M Nisja, LMFT in Fridley, MN - Medicare Marriage & Family Therapist Provider

Gene M Nisja, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fridley, Minnesota. His current practice location is 7362 University Ave Ne, Suite 209, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 825-4407.

Gene M Nisja is licensed to practice in Minnesota (license number LMFT 1632) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528103595.

Contact Information

	Gene M Nisja, LMFT
	7362 University Ave Ne, Suite 209, Fridley, MN 55432-3142
	(612) 825-4407
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gene M Nisja
Gender	Male
Speciality	Marriage & Family Therapist
Location	7362 University Ave Ne, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528103595
Provider Enumeration Date: 02/20/2007
Last Update Date: 06/09/2010

Medicare PECOS Information:

PECOS PAC ID: 4486091246
Enrollment ID: I20240328001783

Medical Identifiers

Medical identifiers for Gene M Nisja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528103595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT 1632 (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. Gene M Nisja allows following entities to bill medicare on his behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

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. Gene M Nisja 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
Gene M Nisja, LMFT 7982 Halifax Ave N, Brooklyn Park, MN 55443-2644 Ph: (612) 325-7382	Gene M Nisja, LMFT 7362 University Ave Ne, Suite 209, Fridley, MN 55432-3142 Ph: (612) 825-4407

Reviews and Comments

Marriage & Family Therapist in Fridley, MN

Catherine Marin, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-780-3307 Fax: 763-780-3306
Matthew Brent Merriman, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 612-672-6999
Mrs. Tricia K. Gibson, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606
Brittany Stark, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5155 E River Rd Ste 401, Fridley, MN 55421 Phone: 763-780-3307 Fax: 763-780-3306
Emily Gail Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7362 University Ave Ne, Fridley, MN 55432 Phone: 952-546-4044 Fax: 888-675-8262
Vonda Malone Tiede, MA MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Fridley, MN 55432 Phone: 763-786-8067
William Leonard Hicks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7671 Central Ave Ne, Suite 208, Fridley, MN 55432 Phone: 763-786-8067 Fax: 763-786-5080

Gene M Nisja, LMFT - Medicare Couples Therapy in Fridley, MN