Dr Patrick Aidan Roberts I, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. He graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Associated Clinic Of Psychology Inc and his current practice location is
4027 County Road 25, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 925-6033.
Dr Patrick Aidan Roberts I is licensed to practice in Minnesota (license number LP6432) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407332836.
Healthcare Provider's Profile
| Full Name | Dr Patrick Aidan Roberts I |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 4027 County Road 25, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Patrick Aidan Roberts I graduated from medical school in 2018
NPI Data:
- NPI Number: 1407332836
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 07/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032542550
- Enrollment ID: I20191227001929
Medical Identifiers
Medical identifiers for Dr Patrick Aidan Roberts I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407332836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP6432 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Associated Clinic Of Psychology Inc | 0749171320 | 127 |
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. Dr Patrick Aidan Roberts I allows following entities to bill medicare on his 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 | Associated Clinic Of Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588741292
PECOS PAC ID: 0749171320
Enrollment ID: O20040323000833 |
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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. Dr Patrick Aidan Roberts I 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 |
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Dr Patrick Aidan Roberts I, PSYD, LP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427
Ph: (612) 925-6033 | Dr Patrick Aidan Roberts I, PSYD, LP
4027 County Road 25,
Minneapolis, MN 55416-2629
Ph: (612) 925-6033 |
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