Clinton Vanlith, PSYD in Fridley, MN - Medicare Psychologist Provider

Clinton Vanlith, PSYD is a medicare enrolled "Psychologist" provider in Fridley, Minnesota. His current practice location is 500 Osborne Rd Ne Ste 255, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 786-6011.

Clinton Vanlith is licensed to practice in Minnesota (license number LP3858) 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 1306911821.

Contact Information

	Clinton Vanlith, PSYD
	500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768
	(763) 786-6011
	(763) 236-2505

Map and Direction

Healthcare Provider's Profile

Full Name	Clinton Vanlith
Gender	Male
Speciality	Psychologist
Location	500 Osborne Rd Ne Ste 255, Fridley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306911821
Provider Enumeration Date: 11/21/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6103018817
Enrollment ID: I20171031000401

Medical Identifiers

Medical identifiers for Clinton Vanlith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306911821	NPI	-	NPPES
LP3858	Other	MN	MN BOARD OF PSYCHOLOGY STATE LICENSE
10518	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	315 (North Dakota)	Secondary
103T00000X	Psychologist	LP3858 (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. Clinton Vanlith allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Clinton Vanlith 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
Clinton Vanlith, PSYD 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 Ph: (763) 786-6011	Clinton Vanlith, PSYD 500 Osborne Rd Ne Ste 255, Fridley, MN 55432-2768 Ph: (763) 786-6011

Reviews and Comments

Psychologist in Fridley, MN

Juihsien Hung Kao, Psychologist Medicare: Medicare Enrolled Practice Location: 7362 University Ave Ne Ste 209, Fridley, MN 55432 Phone: 612-400-7914 Fax: 612-464-6595
Kathrine Linn Brathen, MA, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036
Dr. Amanda Young, PSY.D, LP Psychologist Medicare: Medicare Enrolled Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800 Fax: 763-236-3821
Laura Sue Henson, PSYD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Bhsi Llc Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299
Thomas Edward Harbaugh, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7362 University Ave Ne, Suite 209, Fridley, MN 55432 Phone: 612-825-4407 Fax: 612-825-0768
Mrs. Meghan Doris Miller, PSYD LP Psychologist Medicare: Medicare Enrolled Practice Location: 480 Osborne Rd Ne, Suite 260 - Mr 48260, Fridley, MN 55432 Phone: 763-236-3800
Dr. Shannon Thomas Woulfe, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-5000

Clinton Vanlith, PSYD - Medicare Psychologist in Fridley, MN