Mary L Wandrei, PHD in Shoreview, MN - Medicare Psychologist Provider

Mary L Wandrei, PHD is a medicare enrolled "Psychologist - Clinical" provider in Shoreview, Minnesota. Her current practice location is 4325 Virginia Ave, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 755-7875.

Mary L Wandrei is licensed to practice in Minnesota (license number 4875) 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 1124206818.

Contact Information

	Mary L Wandrei, PHD
	4325 Virginia Ave, Shoreview, MN 55126-2381
	(651) 755-7875
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary L Wandrei
Gender	Female
Speciality	Psychologist - Clinical
Location	4325 Virginia Ave, Shoreview, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124206818
Provider Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008

Medicare PECOS Information:

PECOS PAC ID: 0648456574
Enrollment ID: I20240828003897

Medical Identifiers

Medical identifiers for Mary L Wandrei such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124206818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0700X	Psychologist - Adult Development & Aging	4875 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	4875 (Minnesota)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	4875 (Minnesota)	Secondary
103TF0000X	Psychologist - Family	4875 (Minnesota)	Secondary

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. Mary L Wandrei allows following entities to bill medicare on her behalf.

Entity Name	Dynamic Connections Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265791503 PECOS PAC ID: 6507183456 Enrollment ID: O20240828003636

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. Mary L Wandrei 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
Mary L Wandrei, PHD 4325 Virginia Ave, Shoreview, MN 55126-2381 Ph: (651) 755-7875	Mary L Wandrei, PHD 4325 Virginia Ave, Shoreview, MN 55126-2381 Ph: (651) 755-7875

Reviews and Comments

Psychologist in Shoreview, MN

Dr. Thomas Lawrence Alberg, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 470 W Highway 96, Suite 280, Shoreview, MN 55126 Phone: 651-484-9954 Fax: 651-484-0703
Connie Nichols Meyer, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3206 W Owasso Blvd, Shoreview, MN 55126 Phone: 651-490-9891
Sherry Berde, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N Ste 100, Shoreview, MN 55126 Phone: 651-481-0637
Dr. John Alan Stoltzfus, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 521 Tanglewood Drive, Shoreview, MN 55126 Phone: 651-486-0122 Fax: 651-490-5215
Ann Louise Jones, M.A., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 651-636-0107
Ms. Corrine Arlene Bauer, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907

Mary L Wandrei, PHD - Medicare Psychologist in Shoreview, MN