Arundathi Raghavendra Rao, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Coon Rapids, Minnesota. Her current practice location is
11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 767-3350.
Arundathi Raghavendra Rao is licensed to practice in Minnesota (license number CC01944) 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 1659856821.
Healthcare Provider's Profile
Full Name | Arundathi Raghavendra Rao |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659856821
- Provider Enumeration Date: 10/03/2018
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214387711
- Enrollment ID: I20231226000636
Medical Identifiers
Medical identifiers for Arundathi Raghavendra Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659856821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | CC01944 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | CC01944 (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. Arundathi Raghavendra Rao allows following entities to bill medicare on her 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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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. Arundathi Raghavendra Rao 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 |
Arundathi Raghavendra Rao, LPCC 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: () - | Arundathi Raghavendra Rao, LPCC 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 Ph: (763) 767-3350 |
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