Kotatee Tamba, LP, LICSW in Minneapolis, MN - Medicare Clinical Social Worker Provider

Kotatee Tamba, LP, LICSW is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. He went to University Of Minnesota Medical School and graduated in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Swenson Psychological Services, Llc and his current practice location is 2500 2nd St Ne Apt 607, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 497-9483.

Kotatee Tamba is licensed to practice in Minnesota (license number LP7120) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1366852972.

Contact Information

	Kotatee Tamba, LP, LICSW
	2500 2nd St Ne Apt 607, Minneapolis, MN 55418-3588
	(651) 497-9483
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kotatee Tamba
Gender	Male
Speciality	Clinical Social Worker
Experience	14 Years
Location	2500 2nd St Ne Apt 607, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kotatee Tamba attended and graduated from University Of Minnesota Medical School in 2011

NPI Data:

NPI Number: 1366852972
Provider Enumeration Date: 05/05/2014
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5698007268
Enrollment ID: I20191031000918

Medical Identifiers

Medical identifiers for Kotatee Tamba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366852972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21317 (Minnesota)	Secondary
103T00000X	Psychologist	LP7120 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Swenson Psychological Services, Llc	9638200793	4

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. Kotatee Tamba allows following entities to bill medicare on his behalf.

Entity Name	Swenson Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740429307 PECOS PAC ID: 9638200793 Enrollment ID: O20100706000654

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. Kotatee Tamba 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
Kotatee Tamba, LP, LICSW Po Box 977, Owatonna, MN 55060-0977 Ph: (507) 446-0431	Kotatee Tamba, LP, LICSW 2500 2nd St Ne Apt 607, Minneapolis, MN 55418-3588 Ph: (651) 497-9483

Reviews and Comments

Psychologist in Minneapolis, MN

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Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Kotatee Tamba, LP, LICSW - Medicare Psychologist in Minneapolis, MN