Kimberly Vanessa Heffron-reitzel, MA, LP is a
Psychologist based in Andover, Minnesota. Kimberly Vanessa Heffron-reitzel is licensed to practice in Minnesota (license number LP5194) and her current practice location is
1875 Station Pkwy Nw, Andover, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 482-9598.
NPI number for Kimberly Vanessa Heffron-reitzel is 1366578023 and her current mailing address is 1875 Station Pkwy Nw, Andover, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366578023.
Healthcare Provider's Profile
Full Name | Kimberly Vanessa Heffron-reitzel |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1875 Station Pkwy Nw, Andover, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366578023
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/25/2019
Medical Identifiers
Medical identifiers for Kimberly Vanessa Heffron-reitzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366578023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | LP5194 (Minnesota) | Secondary |
103T00000X | Psychologist | LP5194 (Minnesota) | Primary |
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. Kimberly Vanessa Heffron-reitzel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Vanessa Heffron-reitzel, MA, LP 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598 | Kimberly Vanessa Heffron-reitzel, MA, LP 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598 |
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