Dr Patricia Soderlund, NURSE PRACTITIONER is a medicare enrolled "Counselor - Mental Health" provider in Duluth, Minnesota. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lakeview Behavioral Health Inc and her current practice location is
600 E Superior St Ste 502, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 663-2600.
Dr Patricia Soderlund is licensed to practice in Minnesota (license number 11409) 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 1083446876.
Healthcare Provider's Profile
| Full Name | Dr Patricia Soderlund |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 600 E Superior St Ste 502, Duluth, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Patricia Soderlund graduated from medical school in 2016
NPI Data:
- NPI Number: 1083446876
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840723904
- Enrollment ID: I20241028002204
Medical Identifiers
Medical identifiers for Dr Patricia Soderlund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083446876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | 11409 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11409 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11409 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeview Behavioral Health Inc | 9537432307 | 24 |
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 Patricia Soderlund allows following entities to bill medicare on her behalf.
| Entity Name | Lakeview Behavioral Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154404325
PECOS PAC ID: 9537432307
Enrollment ID: O20170830003216 |
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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 Patricia Soderlund 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 |
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Dr Patricia Soderlund, NURSE PRACTITIONER
2531 E 4th St,
Duluth, MN 55812-1435
Ph: (949) 547-6510 | Dr Patricia Soderlund, NURSE PRACTITIONER
600 E Superior St Ste 502,
Duluth, MN 55802-2200
Ph: (218) 663-2600 |
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