Michelle K Pemble-frazey, PHD in Maple Grove, MN - Medicare Clinical Psychologist Provider

Michelle K Pemble-frazey, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Maple Grove, Minnesota. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-1440.

Michelle K Pemble-frazey is licensed to practice in Minnesota (license number LP4824) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013116342.

Contact Information

	Michelle K Pemble-frazey, PHD
	9555 Upland Ln N, Maple Grove, MN 55369
	(952) 993-1440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle K Pemble-frazey
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	9555 Upland Ln N, Maple Grove, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle K Pemble-frazey graduated from medical school in 2005

NPI Data:

NPI Number: 1013116342
Provider Enumeration Date: 07/17/2007
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3072605765
Enrollment ID: I20070827000276

Medical Identifiers

Medical identifiers for Michelle K Pemble-frazey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013116342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	LP4824 (Minnesota)	Primary
103T00000X	Psychologist	LP4824 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

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. Michelle K Pemble-frazey allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Michelle K Pemble-frazey 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
Michelle K Pemble-frazey, PHD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Michelle K Pemble-frazey, PHD 9555 Upland Ln N, Maple Grove, MN 55369 Ph: (952) 993-1440

Reviews and Comments

Psychologist in Maple Grove, MN

Sally Rose Brinza, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369 Phone: 612-978-5058 Fax: 763-201-1095
Dr. Michaela Monetti, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Dr. Jennifer G Enstad, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369 Phone: 763-416-4167 Fax: 763-416-4137
Dr. Matthew Kingsbury, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11316 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-8000 Fax: 763-400-8000
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Dr. Elizabeth Anne Heidenreich, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121

Michelle K Pemble-frazey, PHD - Medicare Psychologist in Maple Grove, MN