Ms Lisa Marie Fedora, MA, LP in Duluth, MN - Medicare Psychologist Provider

Ms Lisa Marie Fedora, MA, LP is a medicare enrolled "Psychologist" provider in Duluth, Minnesota. Her current practice location is 11 E Superior St Ste 415, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 249-0595.

Ms Lisa Marie Fedora is licensed to practice in Minnesota (license number LP4660) 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 1023174638.

Contact Information

	Ms Lisa Marie Fedora, MA, LP
	11 E Superior St Ste 415, Duluth, MN 55802-3008
	(218) 249-0595
	(218) 461-3666

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa Marie Fedora
Gender	Female
Speciality	Psychologist
Location	11 E Superior St Ste 415, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023174638
Provider Enumeration Date: 12/28/2006
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4789022112
Enrollment ID: I20240404002207

Medical Identifiers

Medical identifiers for Ms Lisa Marie Fedora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023174638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP4660 (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 Lisa Marie Fedora allows following entities to bill medicare on her behalf.

Entity Name	Duluth Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679815823 PECOS PAC ID: 9335408483 Enrollment ID: O20180117001404

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 Lisa Marie Fedora 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 Lisa Marie Fedora, MA, LP 11 E Superior St Ste 415, Duluth, MN 55802-3008 Ph: (218) 249-0595	Ms Lisa Marie Fedora, MA, LP 11 E Superior St Ste 415, Duluth, MN 55802-3008 Ph: (218) 249-0595

Reviews and Comments

Psychologist in Duluth, MN

Ms. Kelly Jean Ravenfeather, MS ED, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 E Superior St Ste 101, Duluth, MN 55802 Phone: 218-726-5433 Fax: 218-279-2844
Mr. James F Gruba, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 1st St, Duluth, MN 55805 Phone: 218-728-4491 Fax: 218-728-4404
Ruth Elaine Olson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360
Ms. Tara Lynn Richter, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 220 N 6th Ave E, Duluth, MN 55805 Phone: 218-249-7000 Fax: 218-249-7050
Robin Joy Anderson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 502 E 2nd St, Duluth, MN 55805 Phone: 218-727-8762
Linda Hastings Schwartz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-2900

Ms Lisa Marie Fedora, MA, LP - Medicare Psychologist in Duluth, MN