Cassondra Jo Otten, PSYD, LP in Woodbury, MN - Medicare Clinical Psychologist Provider

Cassondra Jo Otten, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Woodbury, Minnesota. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is 1811 Weir Dr Ste 270, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 714-9646.

Cassondra Jo Otten is licensed to practice in Minnesota (license number 6713) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386158574.

Contact Information

	Cassondra Jo Otten, PSYD, LP
	1811 Weir Dr Ste 270, Woodbury, MN 55125-6741
	(651) 714-9646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cassondra Jo Otten
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	1811 Weir Dr Ste 270, Woodbury, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cassondra Jo Otten graduated from medical school in 2019

NPI Data:

NPI Number: 1386158574
Provider Enumeration Date: 11/27/2017
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0042609372
Enrollment ID: I20211108002103

Medical Identifiers

Medical identifiers for Cassondra Jo Otten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386158574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6713 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nystrom And Associates Ltd	6406752492	381

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. Cassondra Jo Otten allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Cassondra Jo Otten 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
Cassondra Jo Otten, PSYD, LP 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: () -	Cassondra Jo Otten, PSYD, LP 1811 Weir Dr Ste 270, Woodbury, MN 55125-6741 Ph: (651) 714-9646

Reviews and Comments

Psychologist in Woodbury, MN

Donna Ellena Peterson, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Ste 355, Mail Stop 13701a, Woodbury, MN 55125 Phone: 651-254-4786 Fax: 651-228-8362
Susan Sealy Arquette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bhsi, Llc, 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-769-6550 Fax: 651-769-6599
Colleen M Daniewicz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-501-3000 Fax: 651-501-3500
Brianne M Marion, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7582 Currell Blvd Ste 208, Woodbury, MN 55125 Phone: 651-739-7539
Robin Zimmermann, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-398-6090
Glen Staffan Bjornson, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-730-7525 Fax: 651-769-6599
Carli Braun Kody, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Commerce Dr Ste 295, Woodbury, MN 55125 Phone: 651-272-9777

Cassondra Jo Otten, PSYD, LP - Medicare Psychologist in Woodbury, MN