Ryan Michael Engdahl, PHD, LP - Medicare Psychologist in St. Cloud, MN

Ryan Michael Engdahl, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in St. Cloud, Minnesota. His current practice location is 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 251-2700.

Ryan Michael Engdahl is licensed to practice in Minnesota (license number LP5519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407148588.

Contact Information

Ryan Michael Engdahl, PHD, LP
1406 6th Avenue North, St. Cloud Hospital,
St. Cloud, MN 56303-1901
(320) 251-2700
(320) 229-5109

Map and Direction




Healthcare Provider's Profile

Full NameRyan Michael Engdahl
GenderMale
SpecialityPsychologist - Clinical
Location1406 6th Avenue North, St. Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407148588
  • Provider Enumeration Date: 05/09/2011
  • Last Update Date: 10/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5193978104
  • Enrollment ID: I20121226000099

Medical Identifiers

Medical identifiers for Ryan Michael Engdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407148588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
103TC0700XPsychologist - Clinical LP5519 (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. Ryan Michael Engdahl allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134

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. Ryan Michael Engdahl 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 AddressPractice Location Address
Ryan Michael Engdahl, PHD, LP
1900 Centra Care Circle #2475, Centra Care Health Plaza,
St. Cloud, MN 56303-5000

Ph: (320) 229-5199
Ryan Michael Engdahl, PHD, LP
1406 6th Avenue North, St. Cloud Hospital,
St. Cloud, MN 56303-1901

Ph: (320) 251-2700

Reviews and Comments


Psychologist in St. Cloud, MN

Dr. Jayne Lokken, PH. D.
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Phone: 320-252-1670    
Mr. Timothy Ryan Rysavy, PSYD, LP
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Medicare: May Accept Medicare Assignments
Practice Location: 251 County Road 120, St. Cloud, MN 56303
Phone: 320-258-3833    Fax: 320-253-5741
Angela Rose Ackerman, LPCC
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Medicare: Medicare Enrolled
Practice Location: 3400 1st Street N, Suite 101, St. Cloud, MN 56303
Phone: 612-268-5858    
Jessica Rose Vander Weyst, PSYD, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303
Phone: 320-251-2700    
Ms. Jennifer Kay Rocheleau Dorholt, PSYD, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-229-5109
Dr. Emily Anne Schmidtman, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Drive, St. Cloud, MN 56329
Phone: 320-252-1670    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.