Dr Mariya D Mirzoyan, PSYD, LP in Shakopee, MN - Medicare Psychologist Provider

Dr Mariya D Mirzoyan, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Shakopee, Minnesota. Her current practice location is 200 4th Ave W, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 496-8570.

Dr Mariya D Mirzoyan is licensed to practice in Minnesota (license number LP7118) 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 1790507937.

Contact Information

	Dr Mariya D Mirzoyan, PSYD, LP
	200 4th Ave W, Shakopee, MN 55379-1220
	(952) 496-8570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mariya D Mirzoyan
Gender	Female
Speciality	Psychologist - Clinical
Location	200 4th Ave W, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790507937
Provider Enumeration Date: 10/29/2024
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4880104538
Enrollment ID: I20250611001344

Medical Identifiers

Medical identifiers for Dr Mariya D Mirzoyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790507937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP7118 (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 Mariya D Mirzoyan allows following entities to bill medicare on her behalf.

Entity Name	County Of Scott
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841299443 PECOS PAC ID: 4587605225 Enrollment ID: O20050512000752

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 Mariya D Mirzoyan 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 Mariya D Mirzoyan, PSYD, LP 4120 Parklawn Ave Apt 227, Edina, MN 55435-4691 Ph: (612) 889-0216	Dr Mariya D Mirzoyan, PSYD, LP 200 4th Ave W, Shakopee, MN 55379-1220 Ph: (952) 496-8570

Reviews and Comments

Psychologist in Shakopee, MN

Linda Louise Miller, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 327 S Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549
Linda June Johnson, L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-448-6557 Fax: 952-448-6047
Deborah A Battles, MA, LP Psychologist Medicare: Medicare Enrolled Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8396
Sally Phillips, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 327 Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549
Ms. Kimberly Ann Christensen, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 952-496-8565 Fax: 952-496-8355
Dr. Keith Wayne Fridel, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750
Anisa Sophia Mohammed, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, #300, Shakopee, MN 55379 Phone: 952-496-8614

Dr Mariya D Mirzoyan, PSYD, LP - Medicare Psychologist in Shakopee, MN