Dr John Lichtsinn, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mendota Heights, Minnesota. His current practice location is
1345 Mendota Heights Rd, Mendota Heights, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 313-8080.
Dr John Lichtsinn is licensed to practice in Minnesota (license number 55108) 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 1063739266.
Physician's Profile
| Full Name | Dr John Lichtsinn |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1345 Mendota Heights Rd, Mendota Heights, 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: 1063739266
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365809381
- Enrollment ID: I20230607001545
Medical Identifiers
Medical identifiers for Dr John Lichtsinn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063739266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 55108 (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. Dr John Lichtsinn allows following entities to bill medicare on his behalf.
| Entity Name | Ellie Family Services Pllp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740664150
PECOS PAC ID: 8325309669
Enrollment ID: O20180228001972 |
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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 John Lichtsinn 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 John Lichtsinn, MD
1370 Mendota Heights Rd,
Mendota Heights, MN 55120-1281
Ph: (651) 313-8080 | Dr John Lichtsinn, MD
1345 Mendota Heights Rd,
Mendota Heights, MN 55120-2006
Ph: (651) 313-8080 |
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