Dr Tanya Dahms Sundberg, PHD, LP in Fergus Falls, MN

Dr Tanya Dahms Sundberg, PHD, LP is a medicare enrolled "Psychologist" provider in Fergus Falls, Minnesota. Her current practice location is 225 W Lincoln Ave Ste 104, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 531-1424.

Dr Tanya Dahms Sundberg is licensed to practice in Minnesota (license number LP 4873) 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 1407035793.

Contact Information

	Dr Tanya Dahms Sundberg, PHD, LP
	225 W Lincoln Ave Ste 104, Fergus Falls, MN 56537-2146
	(218) 531-1424
	(218) 531-1420

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tanya Dahms Sundberg
Gender	Female
Speciality	Psychologist
Location	225 W Lincoln Ave Ste 104, Fergus Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407035793
Provider Enumeration Date: 11/02/2007
Last Update Date: 02/16/2025

Medicare PECOS Information:

PECOS PAC ID: 1850340183
Enrollment ID: I20250224002618

Medical Identifiers

Medical identifiers for Dr Tanya Dahms Sundberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407035793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP 4873 (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 Tanya Dahms Sundberg allows following entities to bill medicare on her behalf.

Entity Name	River Walk Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962175943 PECOS PAC ID: 1759763725 Enrollment ID: O20220808001848

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 Tanya Dahms Sundberg 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 Tanya Dahms Sundberg, PHD, LP 19047 345th St, Erhard, MN 56534-9573 Ph: (218) 731-9452	Dr Tanya Dahms Sundberg, PHD, LP 225 W Lincoln Ave Ste 104, Fergus Falls, MN 56537-2146 Ph: (218) 531-1424

Reviews and Comments

Psychologist in Fergus Falls, MN

Ricardo P. Ascano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-0734
Frank Dale Campbell, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln, Suite 12, Fergus Falls, MN 56537 Phone: 218-739-0683 Fax: 218-739-0683
Francis M. Jacobson, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 East Alcott Avenue, Lakeland Mental Health Center, Fergus Falls, MN 56537 Phone: 218-736-6987
Gwen Brutlag, M.S., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537 Phone: 218-739-8761 Fax: 218-739-8581
Brandon Saxton, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 125 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-998-2992 Fax: 320-323-4357
Christianne M Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126
Dr. Mark Carl Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126

Dr Tanya Dahms Sundberg, PHD, LP - Medicare Psychologist in Fergus Falls, MN