Dr Shannon Thomas Woulfe, PHD, LP in Fridley, MN - Medicare Clinical Psychologist Provider

Dr Shannon Thomas Woulfe, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Fridley, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System and his current practice location is 550 Osborne Rd Ne, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 236-5000.

Dr Shannon Thomas Woulfe is licensed to practice in Minnesota (license number 4673) 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 1225593825.

Contact Information

	Dr Shannon Thomas Woulfe, PHD, LP
	550 Osborne Rd Ne, Fridley, MN 55432-2718
	(763) 236-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shannon Thomas Woulfe
Gender	Male
Speciality	Clinical Psychologist
Experience	21 Years
Location	550 Osborne Rd Ne, Fridley, 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 Shannon Thomas Woulfe attended and graduated from University Of North Dakota School Of Medicine in 2003

NPI Data:

NPI Number: 1225593825
Provider Enumeration Date: 02/07/2019
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 9537402730
Enrollment ID: I20190509001568

Medical Identifiers

Medical identifiers for Dr Shannon Thomas Woulfe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225593825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4673 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital	Coon rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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 Shannon Thomas Woulfe allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Shannon Thomas Woulfe 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 Shannon Thomas Woulfe, PHD, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Dr Shannon Thomas Woulfe, PHD, LP 550 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-5000

Reviews and Comments

Psychologist in Fridley, MN

Juihsien Hung Kao, Psychologist Medicare: Medicare Enrolled Practice Location: 7362 University Ave Ne Ste 209, Fridley, MN 55432 Phone: 612-400-7914 Fax: 612-464-6595
Kathrine Linn Brathen, MA, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7954 University Ave Ne, Fridley, MN 55432 Phone: 763-780-3036
Dr. Amanda Young, PSY.D, LP Psychologist Medicare: Medicare Enrolled Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800 Fax: 763-236-3821
Laura Sue Henson, PSYD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6401 University Ave Ne, Bhsi Llc Suite 304, Fridley, MN 55432 Phone: 651-769-6250 Fax: 651-769-6299
Thomas Edward Harbaugh, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7362 University Ave Ne, Suite 209, Fridley, MN 55432 Phone: 612-825-4407 Fax: 612-825-0768
Mrs. Meghan Doris Miller, PSYD LP Psychologist Medicare: Medicare Enrolled Practice Location: 480 Osborne Rd Ne, Suite 260 - Mr 48260, Fridley, MN 55432 Phone: 763-236-3800

Dr Shannon Thomas Woulfe, PHD, LP - Medicare Psychologist in Fridley, MN