Dr Keith Wayne Fridel, PHD in Shakopee, MN - Medicare Clinical Psychologist Provider

Dr Keith Wayne Fridel, PHD is a medicare enrolled "Psychologist" provider in Shakopee, Minnesota. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Park Nicollet Clinic and his current practice location is 1415 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-7750.

Dr Keith Wayne Fridel is licensed to practice in Illinois (license number 071008852) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215345244.

Contact Information

	Dr Keith Wayne Fridel, PHD
	1415 Saint Francis Ave, Shakopee, MN 55379-3374
	(952) 993-7750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Wayne Fridel
Gender	Male
Speciality	Clinical Psychologist
Experience	13 Years
Location	1415 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Keith Wayne Fridel graduated from medical school in 2011

NPI Data:

NPI Number: 1215345244
Provider Enumeration Date: 07/22/2014
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2466498431
Enrollment ID: I20170923000058

Medical Identifiers

Medical identifiers for Dr Keith Wayne Fridel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215345244	NPI	-	NPPES
071008852	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	071008852 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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 Keith Wayne Fridel allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 Keith Wayne Fridel 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 Keith Wayne Fridel, PHD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Dr Keith Wayne Fridel, PHD 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750

Reviews and Comments

Psychologist in Shakopee, MN

Linda Louise Miller, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 327 S Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549
Linda June Johnson, L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-448-6557 Fax: 952-448-6047
Deborah A Battles, MA, LP Psychologist Medicare: Medicare Enrolled Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8396
Sally Phillips, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 327 Marschall Rd, Suite 250, Shakopee, MN 55379 Phone: 651-769-6500 Fax: 651-769-6549
Ms. Kimberly Ann Christensen, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 952-496-8565 Fax: 952-496-8355
Anisa Sophia Mohammed, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, #300, Shakopee, MN 55379 Phone: 952-496-8614

Dr Keith Wayne Fridel, PHD - Medicare Psychologist in Shakopee, MN