Bruce Eisenmenger, MA, LP - Psychologist in Roseville, MN

Bruce Eisenmenger, MA, LP is a Psychologist based in Roseville, Minnesota. Bruce Eisenmenger is licensed to practice in Minnesota (license number 1882) and his current practice location is 1751 County Road B W Ste 100, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 255-6954.

NPI number for Bruce Eisenmenger is 1457370256 and his current mailing address is 7066 Stillwater Blvd N, Oakdale, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457370256.

Contact Information

Bruce Eisenmenger, MA, LP
1751 County Road B W Ste 100,
Roseville, MN 55113-4037
(651) 255-6954
(651) 756-8914

Map and Direction




Healthcare Provider's Profile

Full NameBruce Eisenmenger
GenderMale
SpecialityPsychologist
Location1751 County Road B W Ste 100, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457370256
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 10/19/2017

Medical Identifiers

Medical identifiers for Bruce Eisenmenger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457370256NPI-NPPES
32Q54EIOtherMNBCBS
106264OtherMNUC
1015029OtherMNP1
133865OtherMNCP
18510OtherMNHP
62-01186OtherMNUBH
729325900MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1882 (Minnesota)Primary

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. Bruce Eisenmenger is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bruce Eisenmenger, MA, LP
7066 Stillwater Blvd N,
Oakdale, MN 55128-3937

Ph: (651) 777-5222
Bruce Eisenmenger, MA, LP
1751 County Road B W Ste 100,
Roseville, MN 55113-4037

Ph: (651) 255-6954

Reviews and Comments


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Pamela Johnson, MA, LMFT, LP
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Practice Location: 1751 County Road B W Ste 100, Roseville, MN 55113
Phone: 612-719-5636    

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