Dr Shruti Dasgupta, LP,PHD in St. Paul, MN - Medicare Psychologist Provider

Dr Shruti Dasgupta, LP,PHD is a medicare enrolled "Psychologist - Clinical" provider in St. Paul, Minnesota. Her current practice location is 649 Dayton Ave., St. Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 436-4840.

Dr Shruti Dasgupta is licensed to practice in Minnesota (license number LP6919) 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 1356794937.

Contact Information

	Dr Shruti Dasgupta, LP,PHD
	649 Dayton Ave., St. Paul, MN 55104-6631
	(612) 436-4840
	(612) 436-2604

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shruti Dasgupta
Gender	Female
Speciality	Psychologist - Clinical
Location	649 Dayton Ave., St. Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356794937
Provider Enumeration Date: 07/19/2016
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4587024617
Enrollment ID: I20230720001350

Medical Identifiers

Medical identifiers for Dr Shruti Dasgupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356794937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2012936 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	LP6919 (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 Shruti Dasgupta allows following entities to bill medicare on her behalf.

Entity Name	The Center For Victims Of Torture
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124111729 PECOS PAC ID: 4688656291 Enrollment ID: O20040607000109

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 Shruti Dasgupta 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 Shruti Dasgupta, LP,PHD 649 Dayton Ave., St. Paul, MN 55104-6631 Ph: (612) 436-4840	Dr Shruti Dasgupta, LP,PHD 649 Dayton Ave., St. Paul, MN 55104-6631 Ph: (612) 436-4840

Reviews and Comments

Psychologist in St. Paul, MN

Reena Pathak, PSYD LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752
Nina Aileen Sayer, PHD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave W, Ste 229n, St. Paul, MN 55114 Phone: 651-645-3115 Fax: 651-645-2752
Dr. Mitchell Thomas Wittenberg, PH.D., LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: Jewish Family Service Of St. Paul, 1633 West Seventh Street, St. Paul, MN 55102 Phone: 651-698-0767 Fax: 651-698-0162
Dr. Elizabeth Shryer Boyle, PSYD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1599 Selby Avenue, Suite 103, St. Paul, MN 55105 Phone: 651-789-4746 Fax: 651-393-5423
Ms. Ann L Henry, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 821 Raymond Ave., Ste. 100, St. Paul, MN 55114 Phone: 651-251-0369 Fax: 651-251-3072
Dr. Cynthia Lynne Johnson, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Mail Route 60222, St. Paul, MN 55102 Phone: 651-241-8565 Fax: 651-241-7168

Dr Shruti Dasgupta, LP,PHD - Medicare Psychologist in St. Paul, MN