Ms Suzanne E Derheim, LMFT in Brooklyn Park, MN - Medicare Marriage & Family Therapist Provider

Ms Suzanne E Derheim, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Brooklyn Park, Minnesota. Her current practice location is 5500 94th Ave N, Brooklyn Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 762-8835.

Ms Suzanne E Derheim is licensed to practice in Minnesota (license number 2849) 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 1548709140.

Contact Information

	Ms Suzanne E Derheim, LMFT
	5500 94th Ave N, Brooklyn Park, MN 55443-1992
	(763) 762-8835
	(763) 315-6678

Healthcare Provider's Profile

Full Name	Ms Suzanne E Derheim
Gender	Female
Speciality	Marriage & Family Therapist
Location	5500 94th Ave N, Brooklyn Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548709140
Provider Enumeration Date: 02/15/2017
Last Update Date: 09/19/2018

Medicare PECOS Information:

PECOS PAC ID: 6709221054
Enrollment ID: I20240227002246

Medical Identifiers

Medical identifiers for Ms Suzanne E Derheim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548709140	NPI	-	NPPES
355355800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2849 (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. Ms Suzanne E Derheim allows following entities to bill medicare on her behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

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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. Ms Suzanne E Derheim 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
Ms Suzanne E Derheim, LMFT 5500 94th Ave N, Brooklyn Park, MN 55443-1992 Ph: (763) 762-8835	Ms Suzanne E Derheim, LMFT 5500 94th Ave N, Brooklyn Park, MN 55443-1992 Ph: (763) 762-8835

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Marriage & Family Therapist in Brooklyn Park, MN

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Robert James Niehoff, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475
Laura Bree Villaverde, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-439-5093
Mrs. Lynndelle Kristin Pratt, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7600 Boone Ave N, Suite 2, Brooklyn Park, MN 55428 Phone: 763-504-8458
Melissa Kay Tyo, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5500 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-762-8840
Mrs. Kelly Ann Tyer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9400 Zane Ave N, Brooklyn Park, MN 55443 Phone: 952-826-8475
Stacey Lynn Wolfgram, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6900 78th Ave N, Brooklyn Park, MN 55445 Phone: 763-560-4412

Ms Suzanne E Derheim, LMFT - Medicare Couples Therapy in Brooklyn Park, MN

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Praxis extends patient recruitment services for international HCV study

Diet rich in omega-3 oils, fruit, veggies and fish protects against dementia

NIH selects Viamet's novel antifungal compound for inclusion in the TRND program

Drug treatment seekers more likely to use needle exchange

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Praxis extends patient recruitment services for international HCV study

Diet rich in omega-3 oils, fruit, veggies and fish protects against dementia

NIH selects Viamet's novel antifungal compound for inclusion in the TRND program

Drug treatment seekers more likely to use needle exchange

Marriage & Family Therapist in Brooklyn Park, MN