Advance Therapy - Medicare Speech-Language Pathologist in Lino Lakes, MN

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Advance Therapy is a medicare enrolled "Speech-language Pathologist" provider in Lino Lakes, Minnesota. Their current practice location is 6776 Lake Dr, 220, Lino Lakes, Minnesota. You can reach out to their office (for appointments etc.) via phone at (651) 784-7007.

Advance Therapy is licensed to practice in Minnesota (license number 7350) and it also participates in the medicare program. Advance Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215144654.

Contact Information

Advance Therapy
6776 Lake Dr, 220,
Lino Lakes, MN 55014
(651) 784-7007
(651) 784-7992

Map and Direction




Healthcare Provider's Profile

Full NameAdvance Therapy
TypeFacility
SpecialitySpeech-language Pathologist
Location6776 Lake Dr, Lino Lakes, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215144654
  • Provider Enumeration Date: 05/16/2007
  • Last Update Date: 07/02/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496064644
  • Enrollment ID: O20151029000276

Medical Identifiers

Medical identifiers for Advance Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215144654NPI-NPPES
073222200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7350 (Minnesota)Primary
235Z00000XSpeech-language Pathologist 8361 (Minnesota)Secondary
235Z00000XSpeech-language Pathologist 8679 (Minnesota)Secondary
235Z00000XSpeech-language Pathologist 8826 (Minnesota)Secondary
235Z00000XSpeech-language Pathologist 8490 (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. Advance Therapy acts as a billing entity for following providers:
Provider NameJennifer M Jensen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1386613412
PECOS PAC ID: 0446569693
Enrollment ID: I20151029000474
Provider NameSarah E Williams
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1790943611
PECOS PAC ID: 4183933344
Enrollment ID: I20151029000731
Provider NameKaylen A Whetstone
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1104089929
PECOS PAC ID: 0749581072
Enrollment ID: I20151210001742
Provider NameJessica D Vietor
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932656691
PECOS PAC ID: 3375827769
Enrollment ID: I20170302001940
Provider NameAnna K Pfau Clark
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841747508
PECOS PAC ID: 9335423722
Enrollment ID: I20170302002108
Provider NameRachel A Eaton
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1700496551
PECOS PAC ID: 5395165765
Enrollment ID: I20201023001782
Provider NameAngie M Thompson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1376153346
PECOS PAC ID: 4981024221
Enrollment ID: I20201026002207
Provider NameHannah R Coskran
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427555192
PECOS PAC ID: 0547662991
Enrollment ID: I20210708001167
Provider NameBailey J Reiner
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1679245658
PECOS PAC ID: 4981081247
Enrollment ID: I20220507000220
Provider NameKate O Hanson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1588309561
PECOS PAC ID: 3577943307
Enrollment ID: I20220711000849
Provider NameRenee D Bouchareb
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1215612189
PECOS PAC ID: 8426419862
Enrollment ID: I20230801002165

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. Advance Therapy 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
Advance Therapy
6776 Lake Dr, 220,
Lino Lakes, MN 55014-1191

Ph: (651) 784-7007		Advance Therapy
6776 Lake Dr, 220,
Lino Lakes, MN 55014

Ph: (651) 784-7007

Reviews and Comments


Speech-Language Pathologist in Lino Lakes, MN

Emily Goldhammer, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992
Advance Therapy
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014
Phone: 651-784-7007    
Shana Banas, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    
Kaylen Whetstone, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992
Renee Deborah Therrien Bouchareb,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014
Phone: 651-784-7007    
Ms. Judith Christensen Gelderman, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.