Dr Patricia Soderlund, NURSE PRACTITIONER is a medicare enrolled "Counselor - Mental Health" provider in Duluth, Minnesota. Her current practice location is
600 E Superior St Ste 502, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 663-2600.
Dr Patricia Soderlund is licensed to practice in Minnesota (license number 11409) 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 1083446876.
Healthcare Provider's Profile
| Full Name | Dr Patricia Soderlund |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 600 E Superior St Ste 502, Duluth, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083446876
- Provider Enumeration Date: 08/19/2024
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840723904
- Enrollment ID: I20241028002204
Medical Identifiers
Medical identifiers for Dr Patricia Soderlund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083446876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TB0200X | Psychologist - Cognitive & Behavioral | 11409 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11409 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11409 (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 Patricia Soderlund allows following entities to bill medicare on her behalf.
| Entity Name | Lakeview Behavioral Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154404325
PECOS PAC ID: 9537432307
Enrollment ID: O20170830003216 |
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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 Patricia Soderlund 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 |
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Dr Patricia Soderlund, NURSE PRACTITIONER
2531 E 4th St,
Duluth, MN 55812-1435
Ph: (949) 547-6510 | Dr Patricia Soderlund, NURSE PRACTITIONER
600 E Superior St Ste 502,
Duluth, MN 55802-2200
Ph: (218) 663-2600 |
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