Dr Lisa Sharon Squire, PHD, LP - Medicare Psychologist in Bloomington, MN

Dr Lisa Sharon Squire, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Bloomington, Minnesota. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 7800 Metro Pkwy, Ste 300, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 854-2440.

Dr Lisa Sharon Squire is licensed to practice in Minnesota (license number MNLP0204) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609872589.

Contact Information

Dr Lisa Sharon Squire, PHD, LP
7800 Metro Pkwy, Ste 300,
Bloomington, MN 55425-1509
(952) 854-2440
(952) 854-2465

Map and Direction




Healthcare Provider's Profile

Full NameDr Lisa Sharon Squire
GenderFemale
SpecialityClinical Psychologist
Experience41 Years
Location7800 Metro Pkwy, Bloomington, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa Sharon Squire graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1609872589
  • Provider Enumeration Date: 06/24/2005
  • Last Update Date: 12/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8729122049
  • Enrollment ID: I20100224000226

Medical Identifiers

Medical identifiers for Dr Lisa Sharon Squire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609872589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical MNLP0204 (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 Lisa Sharon Squire allows following entities to bill medicare on her behalf.
Entity NameLisa S. Squire, Phd, Lp, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841529930
PECOS PAC ID: 0345384665
Enrollment ID: O20100224000239

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 Lisa Sharon Squire 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 AddressPractice Location Address
Dr Lisa Sharon Squire, PHD, LP
7800 Metro Pkwy, Ste 300,
Bloomington, MN 55425-1509

Ph: (952) 854-2440
Dr Lisa Sharon Squire, PHD, LP
7800 Metro Pkwy, Ste 300,
Bloomington, MN 55425-1509

Ph: (952) 854-2440

Reviews and Comments


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