Carissa Brandt, is a medicare enrolled "Psychologist - Clinical" provider in Woodbury, Minnesota. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Jessica Dresden Psyd Lp Llc and her current practice location is
1811 Weir Dr Ste 270, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 522-1450.
Carissa Brandt is licensed to practice in Minnesota (license number 6265) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174078455.
Healthcare Provider's Profile
Full Name | Carissa Brandt |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 15 Years |
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Location | 1811 Weir Dr Ste 270, Woodbury, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carissa Brandt graduated from medical school in 2009
NPI Data:
- NPI Number: 1174078455
- Provider Enumeration Date: 08/16/2016
- Last Update Date: 05/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224388483
- Enrollment ID: I20180910000671
Medical Identifiers
Medical identifiers for Carissa Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174078455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 6265 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jessica Dresden Psyd Lp Llc | 0042642449 | 5 |
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. Carissa Brandt allows following entities to bill medicare on her behalf.
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
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Entity Name | Jessica Dresden Psyd Lp Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609421510 PECOS PAC ID: 0042642449 Enrollment ID: O20191122000405 |
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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. Carissa Brandt 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 |
Carissa Brandt, 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 Ph: (763) 522-1450 | Carissa Brandt, 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 Ph: (763) 522-1450 |
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