Mavis Rice, MA LP is a
Psychologist - Group Psychotherapy based in Eden Prairie, Minnesota. Mavis Rice is licensed to practice in Minnesota (license number LP4004) and her current practice location is
6542 Regency Ln, Suite 206, Eden Prairie, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 736-7136.
NPI number for Mavis Rice is 1790869121 and her current mailing address is 6542 Regency Lane, Suite 206, Eden Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790869121.
Healthcare Provider's Profile
| Full Name | Mavis Rice |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Group Psychotherapy |
|---|
| Location | 6542 Regency Ln, Eden Prairie, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790869121
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mavis Rice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790869121 | NPI | - | NPPES |
| 62-50536 | Other | MN | MEDICA/UBH |
| HP50743 | Other | FM | HEALTHPARTNERS |
| 386981400 | Medicaid | MN | |
| 39Q41BU | Other | MN | BCBS GROUP |
| 83G85K1 | Other | MN | BCBS INDIVIDUAL |
| 167373 | Other | MN | U CARE |
| 30433-01 | Other | MN | PREFERREDONE (BPH) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LP4004 (Minnesota) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | LP4004 (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. Mavis Rice 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 |
|---|
Mavis Rice, MA LP
6542 Regency Lane, Suite 206,
Eden Prairie, MN 55344
Ph: (952) 736-7136 | Mavis Rice, MA LP
6542 Regency Ln, Suite 206,
Eden Prairie, MN 55344-7847
Ph: (952) 736-7136 |
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