Derek Evan Prowe, PSYD in Minneapolis, MN - Medicare Psychologist Provider

Derek Evan Prowe, PSYD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. His current practice location is 4749 Chicago Ave Ste 1d, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 656-9122.

Derek Evan Prowe is licensed to practice in Minnesota (license number LP5238) 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 1699924639.

Contact Information

	Derek Evan Prowe, PSYD
	4749 Chicago Ave Ste 1d, Minneapolis, MN 55407-4181
	(612) 656-9122
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek Evan Prowe
Gender	Male
Speciality	Psychologist
Location	4749 Chicago Ave Ste 1d, 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: 1699924639
Provider Enumeration Date: 09/15/2008
Last Update Date: 02/25/2016

Medicare PECOS Information:

PECOS PAC ID: 0345546099
Enrollment ID: I20160519001238

Medical Identifiers

Medical identifiers for Derek Evan Prowe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699924639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP5238 (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. Derek Evan Prowe allows following entities to bill medicare on his behalf.

Entity Name	Derek Prowe Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083074371 PECOS PAC ID: 9436455185 Enrollment ID: O20160307002662

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. Derek Evan Prowe 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
Derek Evan Prowe, PSYD 4749 Chicago Ave Ste 1d, Minneapolis, MN 55407-4181 Ph: (612) 656-9122	Derek Evan Prowe, PSYD 4749 Chicago Ave Ste 1d, Minneapolis, MN 55407-4181 Ph: (612) 656-9122

Reviews and Comments

Psychologist in Minneapolis, MN

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Derek Evan Prowe, PSYD - Medicare Psychologist in Minneapolis, MN