Dr Liza N Meredith, PHD in Minneapolis, MN - Medicare Psychologist Provider

Dr Liza N Meredith, PHD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 621 W Lake St Ste 350, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 403-8425.

Dr Liza N Meredith is licensed to practice in Minnesota (license number 6233) 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 1407496516.

Contact Information

	Dr Liza N Meredith, PHD
	621 W Lake St Ste 350, Minneapolis, MN 55408-2952
	(507) 403-8425
	(651) 925-0427

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Liza N Meredith
Gender	Female
Speciality	Psychologist
Location	621 W Lake St Ste 350, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407496516
Provider Enumeration Date: 01/07/2020
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4082055439
Enrollment ID: I20240516000036

Medical Identifiers

Medical identifiers for Dr Liza N Meredith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407496516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6233 (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 Liza N Meredith allows following entities to bill medicare on her behalf.

Entity Name	Lyn-lake Psychotherapy And Wellness Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071

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 Liza N Meredith 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 Liza N Meredith, PHD 5041 14th Ave S, Minneapolis, MN 55417-1124 Ph: (608) 658-9037	Dr Liza N Meredith, PHD 621 W Lake St Ste 350, Minneapolis, MN 55408-2952 Ph: (507) 403-8425

Reviews and Comments

Psychologist in Minneapolis, MN

Dr. Jennifer Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988
Dr. Ray Martin Conroe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000
Dr. Diane Louise Stellrecht, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496

Dr Liza N Meredith, PHD - Medicare Psychologist in Minneapolis, MN