Ms Lisa Moen, MA is a medicare enrolled "Psychologist - Clinical" provider in Anoka, Minnesota. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Family Innovations Inc and her current practice location is
1833 3rd Ave, Anoka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 421-5535.
Ms Lisa Moen is licensed to practice in Minnesota (license number LP6538) 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 1578080743.
Healthcare Provider's Profile
| Full Name | Ms Lisa Moen |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 1833 3rd Ave, Anoka, 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. |
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Medical Education and Training:
- Ms Lisa Moen graduated from medical school in 2018
NPI Data:
- NPI Number: 1578080743
- Provider Enumeration Date: 08/28/2017
- Last Update Date: 07/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608290036
- Enrollment ID: I20200720000205
Medical Identifiers
Medical identifiers for Ms Lisa Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578080743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP6538 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Innovations Inc | 6204178528 | 34 |
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 Lisa Moen allows following entities to bill medicare on her behalf.
| Entity Name | Family Innovations Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992862783
PECOS PAC ID: 6204178528
Enrollment ID: O20190506002814 |
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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 Lisa Moen 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 Lisa Moen, MA
7525 Mitchell Rd Ste 100,
Eden Prairie, MN 55344-1900
Ph: (952) 224-2282 | Ms Lisa Moen, MA
1833 3rd Ave,
Anoka, MN 55303-2424
Ph: (763) 421-5535 |
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