Ms Laine Cecily Hartwell Bermansohn, LPCC is a medicare enrolled "Psychologist - Counseling" provider in St. Louis Park, Minnesota. Her current practice location is
5354 Parkdale Drive, 2nd Floor, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 645-5323.
Ms Laine Cecily Hartwell Bermansohn is licensed to practice in Minnesota (license number CC01900) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841641743.
Healthcare Provider's Profile
| Full Name | Ms Laine Cecily Hartwell Bermansohn |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 5354 Parkdale Drive, St. Louis Park, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841641743
- Provider Enumeration Date: 06/22/2016
- Last Update Date: 11/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739529082
- Enrollment ID: I20240502003779
Medical Identifiers
Medical identifiers for Ms Laine Cecily Hartwell Bermansohn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841641743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 01907 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | CC01900 (Minnesota) | Primary |
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. Ms Laine Cecily Hartwell Bermansohn allows following entities to bill medicare on her behalf.
| Entity Name | Emily Program Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528165065
PECOS PAC ID: 5193623254
Enrollment ID: O20031229000014 |
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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. Ms Laine Cecily Hartwell Bermansohn 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 |
|---|
Ms Laine Cecily Hartwell Bermansohn, LPCC
5354 Parkdale Drive 2nd Floor,
St. Louis Park, MN 55416
Ph: (952) 652-7452 | Ms Laine Cecily Hartwell Bermansohn, LPCC
5354 Parkdale Drive, 2nd Floor,
St. Louis Park, MN 55416
Ph: (651) 645-5323 |
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