Kimberly Mitlyng, LMFT in Coon Rapids, MN - Medicare Marriage & Family Therapist Provider

Kimberly Mitlyng, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Coon Rapids, Minnesota. Her current practice location is 10091 Dogwood St Nw, Suite 110, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 489-7123.

Kimberly Mitlyng is licensed to practice in Minnesota (license number 1868) 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 1477981397.

Contact Information

	Kimberly Mitlyng, LMFT
	10091 Dogwood St Nw, Suite 110, Coon Rapids, MN 55448-5273
	(763) 489-7123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Mitlyng
Gender	Female
Speciality	Marriage & Family Therapist
Location	10091 Dogwood St Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477981397
Provider Enumeration Date: 11/01/2013
Last Update Date: 11/01/2013

Medicare PECOS Information:

PECOS PAC ID: 1951752443
Enrollment ID: I20240109003323

Medical Identifiers

Medical identifiers for Kimberly Mitlyng such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477981397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1868 (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. Kimberly Mitlyng allows following entities to bill medicare on her behalf.

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

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. Kimberly Mitlyng 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
Kimberly Mitlyng, LMFT 10091 Dogwood St Nw, Suite 110, Coon Rapids, MN 55448-5273 Ph: () -	Kimberly Mitlyng, LMFT 10091 Dogwood St Nw, Suite 110, Coon Rapids, MN 55448-5273 Ph: (763) 489-7123

Reviews and Comments

Marriage & Family Therapist in Coon Rapids, MN

Douglas P. Robinson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 306, Coon Rapids, MN 55433 Phone: 763-780-1520
Melanie Carlson-kappes, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350
Paul Reps, Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 612-440-1899
Laura Michelle Derosier-moran, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433 Phone: 763-363-6219
Ms. Julianne E. Love, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433 Phone: 612-968-0574
James B Benda, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-746-5068
Valissa Milanovich, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912

Kimberly Mitlyng, LMFT - Medicare Couples Therapy in Coon Rapids, MN