Stephanie P Pedersen, LP in Minnetonka, MN - Medicare Clinical Psychologist Provider

Stephanie P Pedersen, LP is a medicare enrolled "Psychologist" provider in Minnetonka, Minnesota. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lyn-lake Psychotherapy And Wellness Ltd and her current practice location is 5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 932-7277.

Stephanie P Pedersen is licensed to practice in Minnesota (license number LP 4964) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104070952.

Contact Information

	Stephanie P Pedersen, LP
	5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, MN 55345
	(952) 932-7277
	(952) 932-9827

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie P Pedersen
Gender	Female
Speciality	Clinical Psychologist
Experience	18 Years
Location	5125 County Road 101, Suite 300, Minnetonka, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie P Pedersen graduated from medical school in 2006

NPI Data:

NPI Number: 1104070952
Provider Enumeration Date: 11/06/2008
Last Update Date: 11/20/2017

Medicare PECOS Information:

PECOS PAC ID: 1951458447
Enrollment ID: I20090421000321

Medical Identifiers

Medical identifiers for Stephanie P Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104070952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP 4964 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lyn-lake Psychotherapy And Wellness Ltd	9638581291	30

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. Stephanie P Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Lyn-lake Psychotherapy And Wellness Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609355163 PECOS PAC ID: 9638581291 Enrollment ID: O20201224000071

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. Stephanie P Pedersen 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
Stephanie P Pedersen, LP 5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, MN 55345 Ph: (952) 932-7277	Stephanie P Pedersen, LP 5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, MN 55345 Ph: (952) 932-7277

Reviews and Comments

Psychologist in Minnetonka, MN

Ms. Laura Ann Jaap, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 Phone: 952-999-6097 Fax: 952-426-0508
Alecia Ann Viera, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 763-546-5797
Dr. Susan Kay Powers Olson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17508 Minnetonka Blvd, Minnetonka, MN 55345 Phone: 763-234-4876
Dr. Andrew Fink, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5710 Baker Rd, Minnetonka, MN 55345 Phone: 952-767-4200
Kathryn J Anderson, LICENSED PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15320 Minnetonka Blvd, # 200 Relate Inc, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827
Dr. Jill Marie Strunk, ED.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4001 Huntingdon Dr, Minnetonka, MN 55305 Phone: 952-936-7547

Stephanie P Pedersen, LP - Medicare Psychologist in Minnetonka, MN