Molly Dudley, LMFT - Medicare Couples Therapy in Coon Rapids, MN

Molly Dudley, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Coon Rapids, Minnesota. Her current practice location is 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 767-3350.

Molly Dudley is licensed to practice in Minnesota (license number 4563) 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 1457120529.

Contact Information

Molly Dudley, LMFT
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638
(763) 767-3350
Not Available

Healthcare Provider's Profile

Full NameMolly Dudley
GenderFemale
SpecialityMarriage & Family Therapist
Location11660 Round Lake Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457120529
  • Provider Enumeration Date: 12/29/2023
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678926623
  • Enrollment ID: I20240126000592

Medical Identifiers

Medical identifiers for Molly Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457120529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 4563 (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. Molly Dudley allows following entities to bill medicare on her 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. Molly Dudley 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
Molly Dudley, LMFT
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638

Ph: (763) 767-3350
Molly Dudley, LMFT
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638

Ph: (763) 767-3350

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Marriage & Family Therapist in Coon Rapids, MN

Douglas P. Robinson, MA LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 199 Coon Rapids Blvd Nw Ste 306, Coon Rapids, MN 55433
Phone: 763-780-1520    
Melanie Carlson-kappes, MA, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433
Phone: 763-767-3350    
Laura Michelle Derosier-moran, MA
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 299 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433
Phone: 763-363-6219    
Ms. Julianne E. Love, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433
Phone: 612-968-0574    
James B Benda, MA
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-746-5068    
Valissa Milanovich, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433
Phone: 763-767-3350    Fax: 763-767-0912
Tawny Nelson,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 10517 Zion St Nw, Coon Rapids, MN 55433
Phone: 763-498-9119    

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