Dr Justin Coulter, PSYD in Maple Grove, MN - Medicare Psychologist Provider

Dr Justin Coulter, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Maple Grove, Minnesota. His current practice location is 7236 Forestview Lane N., Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 416-4167.

Dr Justin Coulter is licensed to practice in Minnesota (license number LP5543) 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 1992940746.

Contact Information

	Dr Justin Coulter, PSYD
	7236 Forestview Lane N., Maple Grove, MN 55369
	(763) 416-4167
	(763) 416-4137

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Justin Coulter
Gender	Male
Speciality	Psychologist - Clinical
Location	7236 Forestview Lane N., Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992940746
Provider Enumeration Date: 12/09/2008
Last Update Date: 04/18/2014

Medicare PECOS Information:

PECOS PAC ID: 6608021258
Enrollment ID: I20130305000120

Medical Identifiers

Medical identifiers for Dr Justin Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992940746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5543 (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 Justin Coulter allows following entities to bill medicare on his behalf.

Entity Name	Innovative Psychological Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942221080 PECOS PAC ID: 3678596285 Enrollment ID: O20060110000633

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 Justin Coulter 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 Justin Coulter, PSYD 521 2nd St Se, # 100, Minneapolis, MN 55414-2290 Ph: (651) 235-8321	Dr Justin Coulter, PSYD 7236 Forestview Lane N., Maple Grove, MN 55369 Ph: (763) 416-4167

Reviews and Comments

Psychologist in Maple Grove, MN

Michelle K. Pemble-frazey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440
Sally Rose Brinza, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369 Phone: 612-978-5058 Fax: 763-201-1095
Dr. Michaela Monetti, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Dr. Jennifer G Enstad, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369 Phone: 763-416-4167 Fax: 763-416-4137
Dr. Matthew Kingsbury, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11316 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-8000 Fax: 763-400-8000
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Dr. Teresa Biehn, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440

Dr Justin Coulter, PSYD - Medicare Psychologist in Maple Grove, MN