Dr Mallory Stevens, LP in Woodbury, MN - Medicare Psychologist Provider

Dr Mallory Stevens, LP is a medicare enrolled "Psychologist - School" provider in Woodbury, Minnesota. Her current practice location is 721 Commerce Dr, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 275-7400.

Dr Mallory Stevens is licensed to practice in Minnesota (license number LP7087) 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 1497482012.

Contact Information

	Dr Mallory Stevens, LP
	721 Commerce Dr, Woodbury, MN 55125-9118
	(651) 275-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mallory Stevens
Gender	Female
Speciality	Psychologist - School
Location	721 Commerce Dr, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497482012
Provider Enumeration Date: 08/03/2022
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 6608317177
Enrollment ID: I20240924003089

Medical Identifiers

Medical identifiers for Dr Mallory Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497482012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	LP7087 (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 Mallory Stevens allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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 Mallory Stevens 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 Mallory Stevens, LP 721 Commerce Dr, Woodbury, MN 55125-9118 Ph: (612) 767-7222	Dr Mallory Stevens, LP 721 Commerce Dr, Woodbury, MN 55125-9118 Ph: (651) 275-7400

Reviews and Comments

Psychologist in Woodbury, MN

Donna Ellena Peterson, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Ste 355, Mail Stop 13701a, Woodbury, MN 55125 Phone: 651-254-4786 Fax: 651-228-8362
Susan Sealy Arquette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bhsi, Llc, 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-769-6550 Fax: 651-769-6599
Colleen M Daniewicz, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-501-3000 Fax: 651-501-3500
Brianne M Marion, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 7582 Currell Blvd Ste 208, Woodbury, MN 55125 Phone: 651-739-7539
Robin Zimmermann, LADC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125 Phone: 651-398-6090
Glen Staffan Bjornson, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7616 Currell Blvd, Suite 290, Woodbury, MN 55125 Phone: 651-730-7525 Fax: 651-769-6599
Carli Braun Kody, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Commerce Dr Ste 295, Woodbury, MN 55125 Phone: 651-272-9777

Dr Mallory Stevens, LP - Medicare Psychologist in Woodbury, MN