Tandra Jefferson, MA, LMFT in Bloomington, MN - Medicare Marriage & Family Therapist Provider

Tandra Jefferson, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bloomington, Minnesota. Her current practice location is 1801 American Blvd E, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 954-1450.

Tandra Jefferson is licensed to practice in Minnesota (license number 4248) 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 1447951793.

Contact Information

	Tandra Jefferson, MA, LMFT
	1801 American Blvd E, Bloomington, MN 55425-1232
	(763) 954-1450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tandra Jefferson
Gender	Female
Speciality	Marriage & Family Therapist
Location	1801 American Blvd E, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447951793
Provider Enumeration Date: 03/14/2023
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3971947375
Enrollment ID: I20240213004002

Medical Identifiers

Medical identifiers for Tandra Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447951793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4248 (Minnesota)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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. Tandra Jefferson allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Tandra Jefferson 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
Tandra Jefferson, MA, LMFT 11433 Valley Ct, Burnsville, MN 55337-1145 Ph: (763) 954-1450	Tandra Jefferson, MA, LMFT 1801 American Blvd E, Bloomington, MN 55425-1232 Ph: (763) 954-1450

Reviews and Comments

Marriage & Family Therapist in Bloomington, MN

Judith Louise Ross Agustin, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S Ste 150h, Bloomington, MN 55431 Phone: 612-314-6012
Ms. Carolynne J Moffat, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 651-278-7607 Fax: 952-851-9618
Debbie Lynn Hennen-bergman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S, Suite 104, Bloomington, MN 55431 Phone: 952-457-8557
Mr. David Alois Praska Jr., MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1101 E 78th St Ste 100, Bloomington, MN 55420 Phone: 952-854-5034 Fax: 952-854-5363
Brian Patrick Zirngible, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1101 E 78th St, Suite 318, Bloomington, MN 55420 Phone: 612-670-5848
Melissa Lee Gawlik, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8120 Penn Ave S Ste 270, Bloomington, MN 55431 Phone: 800-336-5973
Kimberly Lynn Diepenbrock, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425 Phone: 952-767-2293

Tandra Jefferson, MA, LMFT - Medicare Couples Therapy in Bloomington, MN