Heather Bodurtha, in New Brighton, MN - Medicare Psychologist Provider

Heather Bodurtha, is a medicare enrolled "Psychologist - Clinical" provider in New Brighton, Minnesota. Her current practice location is 1900 Silver Lake Rd Nw, 110, New Brighton, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 628-9566.

Heather Bodurtha is licensed to practice in Minnesota (license number LP4705) 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 1679774673.

Contact Information

	Heather Bodurtha,
	1900 Silver Lake Rd Nw, 110, New Brighton, MN 55112-1786
	(651) 628-9566
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heather Bodurtha
Gender	Female
Speciality	Psychologist - Clinical
Location	1900 Silver Lake Rd Nw, New Brighton, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679774673
Provider Enumeration Date: 05/29/2007
Last Update Date: 10/10/2012

Medicare PECOS Information:

PECOS PAC ID: 8729187331
Enrollment ID: I20070622000270

Medical Identifiers

Medical identifiers for Heather Bodurtha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679774673	NPI	-	NPPES
652660100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP4705 (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. Heather Bodurtha allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Heather Bodurtha 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
Heather Bodurtha, 1900 Silver Lake Rd Nw, 110, New Brighton, MN 55112-1786 Ph: () -	Heather Bodurtha, 1900 Silver Lake Rd Nw, 110, New Brighton, MN 55112-1786 Ph: (651) 628-9566

Reviews and Comments

Psychologist in New Brighton, MN

Christine Staebell, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd, New Brighton, MN 55112 Phone: 612-900-0233 Fax: 866-627-0910
Kimberlee Ann Comfort, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-633-4532 Fax: 651-633-9311
Mary Lou Honstead, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 516 Mission House Ln, New Brighton, MN 55112 Phone: 651-636-5120 Fax: 651-636-5124
Dr. Rachel Rose Hulkonen, PSY.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 160, New Brighton, MN 55112 Phone: 612-706-9630 Fax: 612-706-9617
David Kearn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw, #110, New Brighton, MN 55112 Phone: 651-628-9566
Dr. Roy John Sutherland, PHD, ABPP,LADC,MHA Psychologist Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-628-9566
Dr. Cheryl Lynn Schultz, PSYD LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112 Phone: 651-482-9361 Fax: 651-482-9888

Heather Bodurtha, - Medicare Psychologist in New Brighton, MN