Koob Phong Lesang, LMFT - Medicare Couples Therapy in Woodbury, MN

Koob Phong Lesang, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Woodbury, Minnesota. His current practice location is 1811 Weir Dr Ste 270, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 714-9646.

Koob Phong Lesang is licensed to practice in Minnesota (license number 3694) 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 1285370122.

Contact Information

Koob Phong Lesang, LMFT
1811 Weir Dr Ste 270,
Woodbury, MN 55125-6741
(651) 714-9646
Not Available

Healthcare Provider's Profile

Full NameKoob Phong Lesang
GenderMale
SpecialityMarriage & Family Therapist
Location1811 Weir Dr Ste 270, Woodbury, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285370122
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 05/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547604928
  • Enrollment ID: I20240214001910

Medical Identifiers

Medical identifiers for Koob Phong Lesang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285370122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 3694 (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. Koob Phong Lesang allows following entities to bill medicare on his behalf.
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592

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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. Koob Phong Lesang 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
Koob Phong Lesang, LMFT
1789 Hawthorne Ave E,
Saint Paul, MN 55119-4528

Ph: () -
Koob Phong Lesang, LMFT
1811 Weir Dr Ste 270,
Woodbury, MN 55125-6741

Ph: (651) 714-9646

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Marriage & Family Therapist in Woodbury, MN

Missy Young Perry, MA, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 8490 Woodbury Xing, Woodbury, MN 55125
Phone: 651-739-1128    Fax: 763-271-2707
Hannah Sockwell, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 652 Bielenberg Dr, Woodbury, MN 55125
Phone: 715-896-3018    
Ms. Lisa Marie Zietlow, MA LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 7616 Currell Blvd, Suite 290, Woodbury, MN 55125
Phone: 651-769-6550    Fax: 651-769-6599
Jill Johnson, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125
Phone: 651-714-9646    Fax: 651-714-9647
Allison Nimlos,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3944 Bailey Ridge Dr, Woodbury, MN 55125
Phone: 503-703-8049    
Palmer Vanbeest, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125
Phone: 651-714-9646    Fax: 651-714-9647
Nicole E Kirkpatrick,
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1811 Weir Dr Ste 270, Woodbury, MN 55125
Phone: 651-714-9646    

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