Ms Lisa Shoberg-weiner, LPCC is a medicare enrolled "Psychologist - Clinical" provider in Rochester, Minnesota. Her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Ms Lisa Shoberg-weiner is licensed to practice in Minnesota (license number 1074) 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 1174991335.
Healthcare Provider's Profile
| Full Name | Ms Lisa Shoberg-weiner |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 200 1st St Sw, Rochester, 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: 1174991335
- Provider Enumeration Date: 09/04/2015
- Last Update Date: 12/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981018991
- Enrollment ID: I20240229003208
Medical Identifiers
Medical identifiers for Ms Lisa Shoberg-weiner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174991335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 1074 (Minnesota) | Secondary |
| 103T00000X | Psychologist | CC01074 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1074 (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 Lisa Shoberg-weiner allows following entities to bill medicare on her behalf.
| Entity Name | Zumbro Valley Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801961263
PECOS PAC ID: 7810961703
Enrollment ID: O20040825001137 |
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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 Shoberg-weiner 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 Shoberg-weiner, LPCC
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Ms Lisa Shoberg-weiner, LPCC
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 |
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