Carly Jo Alexander, PSYD in Minneapolis, MN - Medicare Psychologist Provider

Carly Jo Alexander, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 800 E 28th St Ste 1750, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 863-4495.

Carly Jo Alexander is licensed to practice in Minnesota (license number LP648) 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 1093192833.

Contact Information

	Carly Jo Alexander, PSYD
	800 E 28th St Ste 1750, Minneapolis, MN 55407-3723
	(612) 863-4495
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Jo Alexander
Gender	Female
Speciality	Psychologist - Clinical
Location	800 E 28th St Ste 1750, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093192833
Provider Enumeration Date: 04/30/2015
Last Update Date: 03/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7416291778
Enrollment ID: I20181128000569

Medical Identifiers

Medical identifiers for Carly Jo Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093192833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP648 (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. Carly Jo Alexander allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Carly Jo Alexander 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
Carly Jo Alexander, PSYD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Carly Jo Alexander, PSYD 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 Ph: (612) 863-4495

Reviews and Comments

Psychologist in Minneapolis, MN

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Carly Jo Alexander, PSYD - Medicare Psychologist in Minneapolis, MN