Beyond Brain Injury is a medicare enrolled "Clinic/center - Rehabilitation" provider in Eden Prairie, Minnesota. Their current practice location is
7587 Kimberly Ln, Eden Prairie, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(612) 384-1007.
Beyond Brain Injury is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Beyond Brain Injury
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174395453.
Healthcare Provider's Profile
Full Name | Beyond Brain Injury |
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Type | Facility |
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Speciality | Clinic/center - Rehabilitation |
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Location | 7587 Kimberly Ln, Eden Prairie, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174395453
- Provider Enumeration Date: 10/30/2023
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082051826
- Enrollment ID: O20240328001162
Medical Identifiers
Medical identifiers for Beyond Brain Injury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174395453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Beyond Brain Injury acts as a billing entity for following providers:
Provider Name | Nicole L Lainhart |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
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Provider Identifiers | NPI Number: 1760449276 PECOS PAC ID: 5991142739 Enrollment ID: I20240328001209 |
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Provider Name | Lisa Noelle Simmons |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1215173414 PECOS PAC ID: 5092240382 Enrollment ID: I20241122003347 |
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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. Beyond Brain Injury 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 |
Beyond Brain Injury 7587 Kimberly Ln, Eden Prairie, MN 55346-4259 Ph: () - | Beyond Brain Injury 7587 Kimberly Ln, Eden Prairie, MN 55346-4259 Ph: (612) 384-1007 |
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