Access Healthcare Services, Llc is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Their current practice location is
5861 Cedar Lake Rd S, Minneapolis, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(763) 541-1393.
Access Healthcare Services, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Access Healthcare Services, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972057644.
Healthcare Provider's Profile
| Full Name | Access Healthcare Services, Llc |
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| Type | Facility |
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| Speciality | Psychologist |
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| Location | 5861 Cedar Lake Rd S, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972057644
- Provider Enumeration Date: 08/10/2016
- Last Update Date: 08/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2961782040
- Enrollment ID: O20161207000421
Medical Identifiers
Medical identifiers for Access Healthcare Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972057644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (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.
Access Healthcare Services, Llc acts as a billing entity for following providers:
| Provider Name | Gary M Goldetsky |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1124129382
PECOS PAC ID: 5799840302
Enrollment ID: I20090216000189 |
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| Provider Name | Paul S Holte |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1750610622
PECOS PAC ID: 1254627334
Enrollment ID: I20160916000468 |
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| Provider Name | Mary H Brixius |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1427656891
PECOS PAC ID: 2961813563
Enrollment ID: I20201203001949 |
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| Provider Name | Jennifer A Brummer |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1356088991
PECOS PAC ID: 7719354315
Enrollment ID: I20221111000903 |
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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. Access Healthcare Services, Llc 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 |
|---|
Access Healthcare Services, Llc
7060 Imhoff Ave Nw,
Maple Lake, MN 55358-2431
Ph: (763) 541-1393 | Access Healthcare Services, Llc
5861 Cedar Lake Rd S,
Minneapolis, MN 55416-1653
Ph: (763) 541-1393 |
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