Mr Steven Roger Wiese, LP in Roseville, MN - Medicare Psychologist Provider

Mr Steven Roger Wiese, LP is a medicare enrolled "Psychologist" provider in Roseville, Minnesota. His current practice location is 2780 Snelling Ave N Ste 104, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 633-5290.

Mr Steven Roger Wiese is licensed to practice in Minnesota (license number LP1426) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194941682.

Contact Information

	Mr Steven Roger Wiese, LP
	2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115
	(651) 633-5290
	(651) 633-5238

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Steven Roger Wiese
Gender	Male
Speciality	Psychologist
Location	2780 Snelling Ave N Ste 104, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194941682
Provider Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830610948
Enrollment ID: I20250305002851

Medical Identifiers

Medical identifiers for Mr Steven Roger Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194941682	NPI	-	NPPES
04Q65WI	Other	MN	BCBSM NON PAR PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP1426 (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. Mr Steven Roger Wiese allows following entities to bill medicare on his behalf.

Entity Name	Crown Imperial Press Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821422544 PECOS PAC ID: 0840711958 Enrollment ID: O20250305002718

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. Mr Steven Roger Wiese 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
Mr Steven Roger Wiese, LP 21211 Imperial Ave N, Forest Lake, MN 55025-9547 Ph: (651) 464-1121	Mr Steven Roger Wiese, LP 2780 Snelling Ave N Ste 104, Roseville, MN 55113-7115 Ph: (651) 633-5290

Reviews and Comments

Psychologist in Roseville, MN

Joseph P. Sundeen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1935 County Road B2 W Ste 160, Roseville, MN 55113 Phone: 651-330-0144
Kenneth B. Little, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1935 County Road B2 W Ste 120, Roseville, MN 55113 Phone: 651-964-0235 Fax: 651-340-5652
Dr. Gail Hegeman, PH D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1711 County Road B West, Suite 144s, Roseville, MN 55113 Phone: 651-635-0909 Fax: 612-822-8669
Kevin M Harrington, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248
Dr. Layla Asamarai, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1611 County Road B W Ste 218, Roseville, MN 55113 Phone: 612-877-0777 Fax: 651-358-2996
Pamela Johnson, MA, LMFT, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1751 County Road B W Ste 100, Roseville, MN 55113 Phone: 612-719-5636

Mr Steven Roger Wiese, LP - Medicare Psychologist in Roseville, MN