Mary Jo Faustgen, LMFT in St Louis Park, MN - Medicare Marriage & Family Therapist Provider

Mary Jo Faustgen, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in St Louis Park, Minnesota. Her current practice location is 5821 Cedar Lake Rd S, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 647-1900.

Mary Jo Faustgen is licensed to practice in Minnesota (license number 1041) 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 1790880821.

Contact Information

	Mary Jo Faustgen, LMFT
	5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487
	(651) 647-1900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Jo Faustgen
Gender	Female
Speciality	Marriage & Family Therapist
Location	5821 Cedar Lake Rd S, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790880821
Provider Enumeration Date: 09/13/2006
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 0648621003
Enrollment ID: I20240110001247

Medical Identifiers

Medical identifiers for Mary Jo Faustgen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790880821	NPI	-	NPPES
1790880821	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1041 (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. Mary Jo Faustgen allows following entities to bill medicare on her behalf.

Entity Name	Midwest Center For Personal & Family Development, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433

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. Mary Jo Faustgen 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
Mary Jo Faustgen, LMFT 9200 40 1/2 Ave N, Minneapolis, MN 55427-1012 Ph: (651) 647-1900	Mary Jo Faustgen, LMFT 5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487 Ph: (651) 647-1900

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

Mary Jo Faustgen, LMFT - Medicare Couples Therapy in St Louis Park, MN