Lisa Bonahoom, LMFT - Medicare Couples Therapy in St Louis Park, MN

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Lisa Bonahoom, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in St Louis Park, Minnesota. Her current practice location is 3525 Monterey Dr, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-6200.

Lisa Bonahoom is licensed to practice in Minnesota (license number 3111) 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 1134507593.

Contact Information

Lisa Bonahoom, LMFT
3525 Monterey Dr,
St Louis Park, MN 55416-5275
(952) 993-6200
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLisa Bonahoom
GenderFemale
SpecialityMarriage & Family Therapist
Location3525 Monterey Dr, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134507593
  • Provider Enumeration Date: 05/18/2015
  • Last Update Date: 05/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7618310806
  • Enrollment ID: I20240205001783

Medical Identifiers

Medical identifiers for Lisa Bonahoom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134507593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 3111 (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. Lisa Bonahoom allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. Lisa Bonahoom 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 AddressPractice Location Address
Lisa Bonahoom, LMFT
2436 Stevens Ave,
Minneapolis, MN 55404-3529

Ph: (952) 240-9404		Lisa Bonahoom, LMFT
3525 Monterey Dr,
St Louis Park, MN 55416-5275

Ph: (952) 993-6200

Reviews and Comments


Marriage & Family Therapist in St Louis Park, MN

Matthew E Olson, L.M.F.T.
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 4601 Excelsior Blvd Ste 335, St Louis Park, MN 55416
Phone: 612-568-7819    
Mrs. Lori Ann Brown-de Alba, M.A., LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426
Phone: 612-223-8898    
Ms. Callie Joyce Mcmillan, MS
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416
Phone: 612-483-4994    
Abigail R Driessen,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426
Phone: 612-223-8898    
Jeffery Allen Nelson,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 6465 Wayzata Blvd Ste 710, St Louis Park, MN 55426
Phone: 612-735-8002    Fax: 651-413-3003
Rachel Wang,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416
Phone: 612-787-2832    
Cisco Javier Cole, MA, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 8085 Wayzata Blvd Ste 203, St Louis Park, MN 55426
Phone: 612-296-3800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.