Dr Amy Elizabeth Cantazaro, PHD, LP in Minneapolis, MN

Dr Amy Elizabeth Cantazaro, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. Her current practice location is 4027 County Road 25, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 925-6033.

Dr Amy Elizabeth Cantazaro is licensed to practice in Minnesota (license number LP6272) 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 1407147713.

Contact Information

	Dr Amy Elizabeth Cantazaro, PHD, LP
	4027 County Road 25, Minneapolis, MN 55416-2629
	(612) 925-6033
	(612) 925-8496

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amy Elizabeth Cantazaro
Gender	Female
Speciality	Psychologist - Clinical
Location	4027 County Road 25, 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: 1407147713
Provider Enumeration Date: 04/21/2011
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3870843238
Enrollment ID: I20180905001998

Medical Identifiers

Medical identifiers for Dr Amy Elizabeth Cantazaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407147713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	001186 (Iowa)	Secondary
103T00000X	Psychologist	LP6272 (Minnesota)	Secondary
103TC1900X	Psychologist - Counseling	001186 (Iowa)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	001186 (Iowa)	Secondary
103TC0700X	Psychologist - Clinical	LP6272 (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. Dr Amy Elizabeth Cantazaro allows following entities to bill medicare on her behalf.

Entity Name	Hennepin County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012

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. Dr Amy Elizabeth Cantazaro 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
Dr Amy Elizabeth Cantazaro, PHD, LP 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Dr Amy Elizabeth Cantazaro, PHD, LP 4027 County Road 25, Minneapolis, MN 55416-2629 Ph: (612) 925-6033

Reviews and Comments

Psychologist in Minneapolis, MN

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Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Amy Elizabeth Cantazaro, PHD, LP - Medicare Psychologist in Minneapolis, MN