Koob Phong Lesang, LMFT in Woodbury, MN - Medicare Marriage & Family Therapist Provider

Koob Phong Lesang, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Woodbury, Minnesota. His current practice location is 1811 Weir Dr Ste 270, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 714-9646.

Koob Phong Lesang is licensed to practice in Minnesota (license number 3694) 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 1285370122.

Contact Information

	Koob Phong Lesang, LMFT
	1811 Weir Dr Ste 270, Woodbury, MN 55125-6741
	(651) 714-9646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Koob Phong Lesang
Gender	Male
Speciality	Marriage & Family Therapist
Location	1811 Weir Dr Ste 270, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285370122
Provider Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0547604928
Enrollment ID: I20240214001910

Medical Identifiers

Medical identifiers for Koob Phong Lesang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285370122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3694 (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. Koob Phong Lesang allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Koob Phong Lesang 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
Koob Phong Lesang, LMFT 1789 Hawthorne Ave E, Saint Paul, MN 55119-4528 Ph: () -	Koob Phong Lesang, LMFT 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 Ph: (651) 714-9646

Reviews and Comments

Marriage & Family Therapist in Woodbury, MN

Missy Young Perry, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8490 Woodbury Xing, Woodbury, MN 55125 Phone: 651-739-1128 Fax: 763-271-2707
Hannah Sockwell, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 652 Bielenberg Dr, Woodbury, MN 55125 Phone: 715-896-3018
Ms. Lisa Marie Zietlow, MA LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-769-6550 Fax: 651-769-6599
Jill Johnson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-714-9646 Fax: 651-714-9647
Allison Nimlos, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3944 Bailey Ridge Dr, Woodbury, MN 55125 Phone: 503-703-8049
Palmer Vanbeest, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-714-9646 Fax: 651-714-9647
Nicole E Kirkpatrick, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-714-9646

Koob Phong Lesang, LMFT - Medicare Couples Therapy in Woodbury, MN