Dr Dorothy Therese Soukup, PHD LP in Sartell, MN - Medicare Psychologist Provider

Dr Dorothy Therese Soukup, PHD LP is a medicare enrolled "Psychologist" provider in Sartell, Minnesota. Her current practice location is 2385 Troop Drive, Suite 202, Sartell, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 253-2385.

Dr Dorothy Therese Soukup is licensed to practice in Minnesota (license number LP3278) 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 1497846950.

Contact Information

	Dr Dorothy Therese Soukup, PHD LP
	2385 Troop Drive, Suite 202, Sartell, MN 56377
	(320) 253-2385
	(320) 253-2386

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dorothy Therese Soukup
Gender	Female
Speciality	Psychologist
Location	2385 Troop Drive, Sartell, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497846950
Provider Enumeration Date: 09/27/2006
Last Update Date: 10/16/2017

Medicare PECOS Information:

PECOS PAC ID: 4981654316
Enrollment ID: I20050124001027

Medical Identifiers

Medical identifiers for Dr Dorothy Therese Soukup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497846950	NPI	-	NPPES
991437400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP3278 (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. Dr Dorothy Therese Soukup allows following entities to bill medicare on her behalf.

Entity Name	Pinecone Family Counseling, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104094457 PECOS PAC ID: 6406931005 Enrollment ID: O20080306000456

Entity Name	Healthwise Psychology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184920753 PECOS PAC ID: 2567685647 Enrollment ID: O20140516001784

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. Dr Dorothy Therese Soukup 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
Dr Dorothy Therese Soukup, PHD LP 2385 Troop Drive, Suite 202, Sartell, MN 56377 Ph: (320) 253-2385	Dr Dorothy Therese Soukup, PHD LP 2385 Troop Drive, Suite 202, Sartell, MN 56377 Ph: (320) 253-2385

Reviews and Comments

Psychologist in Sartell, MN

Kristine Marie Wainright-tadych, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1908 Kruchten Ct S, Sartell, MN 56377 Phone: 320-290-0693
Lacie Jayne Glasser, LPCC Psychologist Medicare: Medicare Enrolled Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512
Dr. Maggie Clare Happe, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 111 2nd St S, Sartell, MN 56377 Phone: 320-281-3339
Alexander Twohy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Dehler Dr, Sartell, MN 56377 Phone: 320-253-3512

Dr Dorothy Therese Soukup, PHD LP - Medicare Psychologist in Sartell, MN