Dr Michael Leonard Bloomquist, PHD, LP in Minneapolis, MN

Dr Michael Leonard Bloomquist, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. His current practice location is University Of Minnesota Physicians, 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 273-8700.

Dr Michael Leonard Bloomquist is licensed to practice in Minnesota (license number LP 1196) 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 1265478473.

Contact Information

	Dr Michael Leonard Bloomquist, PHD, LP
	University Of Minnesota Physicians, 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, MN 55454
	(612) 273-8700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Leonard Bloomquist
Gender	Male
Speciality	Psychologist - Clinical
Location	University Of Minnesota Physicians, 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: 1265478473
Provider Enumeration Date: 06/22/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0042208761
Enrollment ID: I20040503000885

Medical Identifiers

Medical identifiers for Dr Michael Leonard Bloomquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265478473	NPI	-	NPPES
768028	Other	MN	ARAZ
9G743BL	Other	MN	BCBS
112423	Other	MN	UCARE
61-39497	Other	MN	MEDICA CHOICE & PRIMARY
C626	Other	MN	CHAMPUS/TRIWEST
0920001	Other	MN	PREFERRED ONE
HP29376	Other	MN	HEALTHPARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP 1196 (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 Michael Leonard Bloomquist allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

Entity Name	Portages Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942945761 PECOS PAC ID: 6800269861 Enrollment ID: O20230222002907

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 Michael Leonard Bloomquist 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 Michael Leonard Bloomquist, PHD, LP University Of Minnesota Physicians, 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, MN 55454 Ph: (612) 273-9800	Dr Michael Leonard Bloomquist, PHD, LP University Of Minnesota Physicians, 2312 South 6th Street, Suite F256 / 2b West, Minneapolis, MN 55454 Ph: (612) 273-8700

Reviews and Comments

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Dr Michael Leonard Bloomquist, PHD, LP - Medicare Psychologist in Minneapolis, MN