Dr Linda Rae Deters, PSYD, LP in Minneapolis, MN - Medicare Psychologist Provider

Dr Linda Rae Deters, PSYD, LP is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 2215 E Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 596-9438.

Dr Linda Rae Deters is licensed to practice in Minnesota (license number LP5597) 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 1225379381.

Contact Information

	Dr Linda Rae Deters, PSYD, LP
	2215 E Lake St, Minneapolis, MN 55407-4385
	(612) 596-9438
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Linda Rae Deters
Gender	Female
Speciality	Psychologist
Location	2215 E Lake St, 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: 1225379381
Provider Enumeration Date: 03/13/2013
Last Update Date: 08/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4789822933
Enrollment ID: I20130529000410

Medical Identifiers

Medical identifiers for Dr Linda Rae Deters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225379381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3096-57 (Wisconsin)	Secondary
103T00000X	Psychologist	LP 5597 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	LP 5597 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	3096-57 (Wisconsin)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	LP-5597 (Minnesota)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	3096-57 (Wisconsin)	Secondary
103T00000X	Psychologist	LP5597 (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 Linda Rae Deters 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

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20221117000817

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 Linda Rae Deters 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 Linda Rae Deters, PSYD, LP 2215 E Lake St, Minneapolis, MN 55407-4385 Ph: () -	Dr Linda Rae Deters, PSYD, LP 2215 E Lake St, Minneapolis, MN 55407-4385 Ph: (612) 596-9438

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
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 Linda Rae Deters, PSYD, LP - Medicare Psychologist in Minneapolis, MN