Shelly L Edwards, MA LP in Rogers, MN - Medicare Psychologist Provider

Shelly L Edwards, MA LP is a medicare enrolled "Psychologist" provider in Rogers, Minnesota. Her current practice location is 14115 James Rd Ste 305, Rogers, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 575-8086.

Shelly L Edwards is licensed to practice in Minnesota (license number LP3435) 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 1821051327.

Contact Information

	Shelly L Edwards, MA LP
	14115 James Rd Ste 305, Rogers, MN 55374-9417
	(763) 575-8086
	(320) 774-0415

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly L Edwards
Gender	Female
Speciality	Psychologist
Location	14115 James Rd Ste 305, Rogers, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821051327
Provider Enumeration Date: 04/07/2006
Last Update Date: 10/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9830542703
Enrollment ID: I20240126001806

Medical Identifiers

Medical identifiers for Shelly L Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821051327	NPI	-	NPPES
6252137	Other		UBH
1023461	Other		PREFERRED ONE
120585	Other		UCARE
63325900	Medicaid	MN
11Q62ED	Other	MN	BCBS
HP23171	Other		HEALTH PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP3435 (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. Shelly L Edwards allows following entities to bill medicare on her behalf.

Entity Name	Vanda Counseling And Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295131779 PECOS PAC ID: 6608192083 Enrollment ID: O20150302001196

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. Shelly L Edwards 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
Shelly L Edwards, MA LP 14115 James Rd Ste 305, Rogers, MN 55374-9417 Ph: (763) 575-8086	Shelly L Edwards, MA LP 14115 James Rd Ste 305, Rogers, MN 55374-9417 Ph: (763) 575-8086

Reviews and Comments

Psychologist in Rogers, MN

Ms. Bonnie Kay Ellingboe, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14115 James Rd Ste 305, Rogers, MN 55374 Phone: 763-575-8086 Fax: 320-774-0415
Larry Marvin Schanus, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21370 John Milless Dr, Rogers, MN 55374 Phone: 612-910-8391 Fax: 763-479-1748
Dr. David Gene Brunetti, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 21308 John Milless Dr, Suite 101b, Rogers, MN 55374 Phone: 763-428-4060 Fax: 763-428-1711
Cheri L Brunetti, PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 21308 John Milless Dr, Suite 101b, Rogers, MN 55374 Phone: 763-428-4060 Fax: 763-428-1711
Ms. Antoinette R Vanstelten, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14115 James Rd, Ste. 305, Rogers, MN 55374 Phone: 763-575-8086 Fax: 763-774-0415
Darla Jan Dammen, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14115 James Rd Ste 305, Rogers, MN 55374 Phone: 763-575-8086 Fax: 320-774-0415

Shelly L Edwards, MA LP - Medicare Psychologist in Rogers, MN