Kotatee Tamba, LP, LICSW in Minneapolis, MN

Kotatee Tamba, LP, LICSW is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. 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
Experience	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 in

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

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

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. Ray Martin Conroe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000

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