Nicole Liv Youngberg, OTR/L in Saint Louis Park, MN - Medicare Occupational Therapist Provider

Nicole Liv Youngberg, OTR/L is a medicare enrolled "Occupational Therapist" provider in Saint Louis Park, Minnesota. Her current practice location is 3800 Park Nicollet Blvd, Saint Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3123.

Nicole Liv Youngberg is licensed to practice in Minnesota (license number ) 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 1841899341.

Contact Information

	Nicole Liv Youngberg, OTR/L
	3800 Park Nicollet Blvd, Saint Louis Park, MN 55416-2527
	(952) 993-3123
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Liv Youngberg
Gender	Female
Speciality	Occupational Therapist
Location	3800 Park Nicollet Blvd, Saint Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841899341
Provider Enumeration Date: 10/26/2020
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2264842871
Enrollment ID: I20201111001207

Medical Identifiers

Medical identifiers for Nicole Liv Youngberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841899341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(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. Nicole Liv Youngberg allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Provider Name	Sunnydays Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891914412 PECOS PAC ID: 5698900314 Enrollment ID: O20131104001388

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. Nicole Liv Youngberg 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
Nicole Liv Youngberg, OTR/L 275 Shelard Pkwy Apt 310, St Louis Park, MN 55426-4903 Ph: () -	Nicole Liv Youngberg, OTR/L 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416-2527 Ph: (952) 993-3123

Reviews and Comments

Occupational Therapist in Saint Louis Park, MN

Megan Kelley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd., Saint Louis Park, MN 55426 Phone: 952-883-5000
Rebecca Leigh Marsters, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-5256
Robert G Otos, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8700 Virginia Cir N, Saint Louis Park, MN 55426 Phone: 612-790-1114
Elizabeth Coyne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4415 W 36 1/2 St, Saint Louis Park, MN 55416 Phone: 952-927-9717 Fax: 952-927-7687
Andrea Marie Kinzer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-5256
Bethany Fleischman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 W 28th St, Saint Louis Park, MN 55426 Phone: 952-920-8380
Meghan Janssen Hager, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-5491

Nicole Liv Youngberg, OTR/L - Medicare Occupational Therapist in Saint Louis Park, MN