Shereen M O'malley, MA, LP is a medicare enrolled "Psychologist" provider in Andover, Minnesota. Her current practice location is
1875 Station Parkwaynw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 482-9598.
Shereen M O'malley is licensed to practice in Minnesota (license number LP 4846) 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 1760439327.
Healthcare Provider's Profile
Full Name | Shereen M O'malley |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1875 Station Parkwaynw, Andover, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760439327
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 08/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8527402114
- Enrollment ID: I20240411001270
Medical Identifiers
Medical identifiers for Shereen M O'malley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760439327 | NPI | - | NPPES |
101760 | Other | MN | UCARE |
519252800 | Medicaid | MN | |
HP18900 | Other | MN | HEALTH PARTNERS |
990991000633 | Other | MN | PREFERRED ONE |
483P10M | Other | MN | BCBS |
62-02122 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP 4846 (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. Shereen M O'malley allows following entities to bill medicare on her behalf.
Entity Name | Rum River Counseling, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915 |
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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. Shereen M O'malley 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 |
Shereen M O'malley, MA, LP 1875 Station Parkwaynw, Andover, MN 55304-1719 Ph: () - | Shereen M O'malley, MA, LP 1875 Station Parkwaynw, Andover, MN 55304-1719 Ph: (763) 482-9598 |
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