Mr Paul Luke Mladnick, LMFT in Forest Lake, MN - Medicare Marriage & Family Therapist Provider

Mr Paul Luke Mladnick, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Forest Lake, Minnesota. His current practice location is 1068 So Lake St, #109, Forest Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 719-7966.

Mr Paul Luke Mladnick is licensed to practice in Minnesota (license number 1306) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487843355.

Contact Information

	Mr Paul Luke Mladnick, LMFT
	1068 So Lake St, #109, Forest Lake, MN 55025
	(612) 719-7966
	(651) 982-6035

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Luke Mladnick
Gender	Male
Speciality	Marriage & Family Therapist
Location	1068 So Lake St, Forest Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487843355
Provider Enumeration Date: 10/17/2007
Last Update Date: 10/17/2007

Medicare PECOS Information:

PECOS PAC ID: 3577901321
Enrollment ID: I20240329001598

Medical Identifiers

Medical identifiers for Mr Paul Luke Mladnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487843355	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1306 (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. Mr Paul Luke Mladnick allows following entities to bill medicare on his behalf.

Entity Name	Paul Mladnick Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467219089 PECOS PAC ID: 8325580947 Enrollment ID: O20240610003865

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. Mr Paul Luke Mladnick 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
Mr Paul Luke Mladnick, LMFT 1068 So Lake St, Suite 109, Forest Lake, MN 55025 Ph: (612) 719-7966	Mr Paul Luke Mladnick, LMFT 1068 So Lake St, #109, Forest Lake, MN 55025 Ph: (612) 719-7966

Reviews and Comments

Marriage & Family Therapist in Forest Lake, MN

Ms. Nancy Lynn Hertz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, Suite 109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035
Linda E Kordosky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Suite 105, Forest Lake, MN 55025 Phone: 651-982-2880 Fax: 651-982-2884
Ms. Rebecca Bowers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N Ste 103, Forest Lake, MN 55025 Phone: 651-464-3685
David Michael Anderson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24799 Forest Blvd, Forest Lake, MN 55025 Phone: 651-257-4406 Fax: 651-257-4406
Mr. Michael Poindexter, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, #109, Forest Lake, MN 55025 Phone: 651-982-4792 Fax: 651-982-6035
Jina Kay-lebakken Wilson, MS,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20083 Explorer Ave N, Forest Lake, MN 55025 Phone: 651-261-6330 Fax: 612-440-2209

Mr Paul Luke Mladnick, LMFT - Medicare Couples Therapy in Forest Lake, MN