Terri E Bly, PSYD, LP - Medicare Psychologist in Saint Paul, MN

Terri E Bly, PSYD, LP is a medicare enrolled "Psychologist - Family" provider in Saint Paul, Minnesota. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lyn-lake Psychotherapy And Wellness Ltd and her current practice location is 1150 Montreal Ave Ste 107, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 313-8080.

Terri E Bly is licensed to practice in Minnesota (license number 4864) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093221129.

Contact Information

Terri E Bly, PSYD, LP
1150 Montreal Ave Ste 107,
Saint Paul, MN 55116-2393
(651) 313-8080
(651) 433-7122

Map and Direction




Healthcare Provider's Profile

Full NameTerri E Bly
GenderFemale
SpecialityClinical Psychologist
Experience19 Years
Location1150 Montreal Ave Ste 107, Saint Paul, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Terri E Bly graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1093221129
  • Provider Enumeration Date: 12/27/2017
  • Last Update Date: 06/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587927967
  • Enrollment ID: I20180417002513

Medical Identifiers

Medical identifiers for Terri E Bly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093221129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0000XPsychologist - Family 4864 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lyn-lake Psychotherapy And Wellness Ltd963858129135

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. Terri E Bly allows following entities to bill medicare on her behalf.
Entity NameEllie Family Services Pllp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740664150
PECOS PAC ID: 8325309669
Enrollment ID: O20180228001972
Entity NameLyn-lake Psychotherapy And Wellness Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609355163
PECOS PAC ID: 9638581291
Enrollment ID: O20201224000071

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. Terri E Bly 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
Terri E Bly, PSYD, LP
1150 Montreal Ave Ste 107,
Saint Paul, MN 55116-2393

Ph: (651) 313-8080
Terri E Bly, PSYD, LP
1150 Montreal Ave Ste 107,
Saint Paul, MN 55116-2393

Ph: (651) 313-8080

Reviews and Comments


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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.

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