Merle Fossum, MSW is a
Marriage & Family Therapist based in Edina, Minnesota. Merle Fossum is licensed to practice in Minnesota (license number 99) and his current practice location is
7701 Normandale Rd, Suite #100, Edina, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 225-4675.
NPI number for Merle Fossum is 1528007333 and his current mailing address is 7701 Normandale Rd, Suite #100, Edina, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528007333.
Healthcare Provider's Profile
| Full Name | Merle Fossum |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 7701 Normandale Rd, Edina, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528007333
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Merle Fossum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528007333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 5417 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 99 (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. Merle Fossum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Merle Fossum, MSW
7701 Normandale Rd, Suite #100,
Edina, MN 55435-5310
Ph: (651) 225-4675 | Merle Fossum, MSW
7701 Normandale Rd, Suite #100,
Edina, MN 55435-5310
Ph: (651) 225-4675 |
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