Laura Ann Fry, PHD, LP is a medicare enrolled "Clinical Neuropsychologist" provider in Minneapolis, Minnesota. Her current practice location is
800 E 28th St Ste 1750, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 863-4495.
Laura Ann Fry is licensed to practice in Minnesota (license number LP7049) 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 1700625662.
Healthcare Provider's Profile
| Full Name | Laura Ann Fry |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 800 E 28th St Ste 1750, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700625662
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749723989
- Enrollment ID: I20240617002162
Medical Identifiers
Medical identifiers for Laura Ann Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700625662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | LP7049 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP7049 (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. Laura Ann Fry allows following entities to bill medicare on her behalf.
| Entity Name | Allina Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460 |
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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. Laura Ann Fry 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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Laura Ann Fry, PHD, LP
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 262-5000 | Laura Ann Fry, PHD, LP
800 E 28th St Ste 1750,
Minneapolis, MN 55407-3723
Ph: (612) 863-4495 |
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