Dr Stacey Lynn Nelson, PSYD in Elk River, MN - Medicare Psychologist Provider

Dr Stacey Lynn Nelson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Elk River, Minnesota. Her current practice location is 19230 Evans St Nw Ste 109, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 213-5648.

Dr Stacey Lynn Nelson is licensed to practice in Minnesota (license number LP5661) 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 1760790828.

Contact Information

	Dr Stacey Lynn Nelson, PSYD
	19230 Evans St Nw Ste 109, Elk River, MN 55330-1079
	(952) 213-5648
	(952) 213-5663

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacey Lynn Nelson
Gender	Female
Speciality	Psychologist - Clinical
Location	19230 Evans St Nw Ste 109, Elk River, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760790828
Provider Enumeration Date: 09/22/2010
Last Update Date: 12/30/2022

Medicare PECOS Information:

PECOS PAC ID: 9537385299
Enrollment ID: I20140801001326

Medical Identifiers

Medical identifiers for Dr Stacey Lynn Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760790828	NPI	-	NPPES
943400400	Medicaid	MN
H400153967	Other	MN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5661 (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. Dr Stacey Lynn Nelson allows following entities to bill medicare on her behalf.

Entity Name	Encompass Integrative Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023608254 PECOS PAC ID: 1557728318 Enrollment ID: O20230609000555

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. Dr Stacey Lynn Nelson 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
Dr Stacey Lynn Nelson, PSYD 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 Ph: (952) 213-5648	Dr Stacey Lynn Nelson, PSYD 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 Ph: (952) 213-5648

Reviews and Comments

Psychologist in Elk River, MN

Mrs. Jill Stephens, LP Psychologist Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw, Elk River, MN 55330 Phone: 763-633-5111 Fax: 763-633-5112
Dr. Rebecca Ruth Fischer, PSY.D, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19230 Evans St Nw Ste 109, Elk River, MN 55330 Phone: 952-232-6054 Fax: 952-232-6350
Mr. Trey Jensen, M.A. Psychologist Medicare: Medicare Enrolled Practice Location: 200 5th St Nw Ste B, Elk River, MN 55330 Phone: 763-600-7996 Fax: 763-244-1243
Crys Rivers, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 11090 183rd Cir Nw Ste C, Elk River, MN 55330 Phone: 763-777-1381
Linda Kaye Thompson, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19021 Freeport St Nw Ste 500, Elk River, MN 55330 Phone: 701-441-3951 Fax: 701-441-8661
Jones M Adkins, PSYD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 730 Dodge Ave, Suite 101, Elk River, MN 55330 Phone: 763-441-3770 Fax: 763-441-9057
Lynn D Hardy, MA, LP Psychologist Medicare: Medicare Enrolled Practice Location: 11070 183rd Cir Nw, Elk River, MN 55330 Phone: 763-633-5111 Fax: 763-633-5112

Dr Stacey Lynn Nelson, PSYD - Medicare Psychologist in Elk River, MN