Stanley Brunsdale Thiele, MA, LP, LMFT in Minneapolis, MN

Stanley Brunsdale Thiele, MA, LP, LMFT is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. His current practice location is 4027 County Road 25, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 925-6033.

Stanley Brunsdale Thiele is licensed to practice in Minnesota (license number LP5140) 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 1851628341.

Contact Information

	Stanley Brunsdale Thiele, MA, LP, LMFT
	4027 County Road 25, Minneapolis, MN 55416-2629
	(612) 925-6033
	(612) 925-8496

Map and Direction

Healthcare Provider's Profile

Full Name	Stanley Brunsdale Thiele
Gender	Male
Speciality	Psychologist - Clinical
Location	4027 County Road 25, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851628341
Provider Enumeration Date: 11/04/2009
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9133572746
Enrollment ID: I20240131001018

Medical Identifiers

Medical identifiers for Stanley Brunsdale Thiele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851628341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5140 (Minnesota)	Primary
106H00000X	Marriage & Family Therapist	3707 (Minnesota)	Secondary

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. Stanley Brunsdale Thiele allows following entities to bill medicare on his behalf.

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

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. Stanley Brunsdale Thiele 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
Stanley Brunsdale Thiele, MA, LP, LMFT 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Stanley Brunsdale Thiele, MA, LP, LMFT 4027 County Road 25, Minneapolis, MN 55416-2629 Ph: (612) 925-6033

Reviews and Comments

Psychologist in Minneapolis, MN

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Stanley Brunsdale Thiele, MA, LP, LMFT - Medicare Psychologist in Minneapolis, MN