Terri E Bly, PSYD, LP in Saint Paul, MN - Medicare Clinical Psychologist Provider

Terri E Bly, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Saint Paul, Minnesota. She graduated from medical school in 2005 and has 21 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 91 Snelling Ave N, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 979-2276.

Terri E Bly is licensed to practice in Minnesota (license number 4864) 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 1093221129.

Contact Information

	Terri E Bly, PSYD, LP
	91 Snelling Ave N, Saint Paul, MN 55104-6753
	(612) 979-2276
	(651) 925-0427

Map and Direction

Healthcare Provider's Profile

Full Name	Terri E Bly
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	91 Snelling Ave N, Saint Paul, 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:

Terri E Bly graduated from medical school in 2005

NPI Data:

NPI Number: 1093221129
Provider Enumeration Date: 12/27/2017
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 4587927967
Enrollment ID: I20180417002513

Medical Identifiers

Medical identifiers for Terri E Bly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093221129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4864 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lyn-lake Psychotherapy And Wellness Ltd	9638581291	51

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. Terri E Bly allows following entities to bill medicare on her behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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. Terri E Bly 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
Terri E Bly, PSYD, LP 3528 Widgeon Way, Eagan, MN 55123-1003 Ph: (651) 252-1184	Terri E Bly, PSYD, LP 91 Snelling Ave N, Saint Paul, MN 55104-6753 Ph: (612) 979-2276

Reviews and Comments

Psychologist in Saint Paul, MN

Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985
Ishaq Mohamud Ali, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 938 Sixth Street, Saint Paul, MN 55106 Phone: 315-450-7121
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Terri E Bly, PSYD, LP - Medicare Psychologist in Saint Paul, MN