Alec Vicenzi, is a medicare enrolled "Psychologist" provider in Minnetonka, Minnesota. He graduated from healthcare school in 2020 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sonder Behavioral Health And Wellness Inc and his current practice location is
12301 Whitewater Dr Ste 101, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 999-6097.
Alec Vicenzi is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770137556.
Healthcare Provider's Profile
| Full Name | Alec Vicenzi |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 4 Years |
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| Location | 12301 Whitewater Dr Ste 101, Minnetonka, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alec Vicenzi graduated from medical school in 2020
NPI Data:
- NPI Number: 1770137556
- Provider Enumeration Date: 07/30/2019
- Last Update Date: 09/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103217526
- Enrollment ID: I20211220000718
Medical Identifiers
Medical identifiers for Alec Vicenzi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770137556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonder Behavioral Health And Wellness Inc | 4880987114 | 13 |
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. Alec Vicenzi allows following entities to bill medicare on his behalf.
| Entity Name | Sonder Behavioral Health & Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780031732
PECOS PAC ID: 4880987114
Enrollment ID: O20160725002280 |
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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. Alec Vicenzi 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 |
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Alec Vicenzi,
1933 Randolph Ave,
Saint Paul, MN 55105-1746
Ph: (608) 208-3065 | Alec Vicenzi,
12301 Whitewater Dr Ste 101,
Minnetonka, MN 55343-4157
Ph: (952) 999-6097 |
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