Ms Leanne C Goth, MA, LP in Robbinsdale, MN - Medicare Psychologist Provider

Ms Leanne C Goth, MA, LP is a medicare enrolled "Psychologist" provider in Robbinsdale, Minnesota. Her current practice location is 3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-1396.

Ms Leanne C Goth is licensed to practice in Minnesota (license number LP4081) 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 1174641377.

Contact Information

	Ms Leanne C Goth, MA, LP
	3300 Oakdale Ave N, Robbinsdale, MN 55422-2926
	(763) 520-1396
	(763) 257-0073

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Leanne C Goth
Gender	Female
Speciality	Psychologist
Location	3300 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174641377
Provider Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7517310246
Enrollment ID: I20240130001643

Medical Identifiers

Medical identifiers for Ms Leanne C Goth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174641377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP4081 (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. Ms Leanne C Goth allows following entities to bill medicare on her behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

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. Ms Leanne C Goth 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
Ms Leanne C Goth, MA, LP 4717 Oxborough Gdns, Brooklyn Park, MN 55443-3994 Ph: (763) 425-3636	Ms Leanne C Goth, MA, LP 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-1396

Reviews and Comments

Psychologist in Robbinsdale, MN

Anne Slanina, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 637-581-6400 Fax: 763-581-6401
Joan Elizabeth Nelson, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1396
Dr. Amy E Look, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-6400 Fax: 763-581-6401
Alexandra Jane Steinbrueck, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-6400 Fax: 763-581-6401
Ryan Christopher Van Wyk, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N Ste 300, Robbinsdale, MN 55422 Phone: 763-581-6429
Ms. Mary A Gosen, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1396

Ms Leanne C Goth, MA, LP - Medicare Psychologist in Robbinsdale, MN