Dr Saari Anne Mccornack, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Big Lake, Minnesota. Her current practice location is
207 Jefferson Blvd, Big Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 263-7897.
Dr Saari Anne Mccornack is licensed to practice in Minnesota (license number 5789) 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 1518437912.
Healthcare Provider's Profile
Full Name | Dr Saari Anne Mccornack |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 207 Jefferson Blvd, Big Lake, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518437912
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 11/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941619944
- Enrollment ID: I20210504000561
Medical Identifiers
Medical identifiers for Dr Saari Anne Mccornack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518437912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 5789 (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 Saari Anne Mccornack allows following entities to bill medicare on her behalf.
Entity Name | Hennepin County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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Entity Name | Brain Health Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477144384 PECOS PAC ID: 8527455443 Enrollment ID: O20220425000591 |
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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 Saari Anne Mccornack 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 Saari Anne Mccornack, PSYD 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 379-1718 | Dr Saari Anne Mccornack, PSYD 207 Jefferson Blvd, Big Lake, MN 55309-4667 Ph: (763) 263-7897 |
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