Michelle K Pemble-frazey, PHD - Medicare Psychologist in Maple Grove, MN

Michelle K Pemble-frazey, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Maple Grove, 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 Park Nicollet Clinic and her current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-1440.

Michelle K Pemble-frazey is licensed to practice in Minnesota (license number LP4824) 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 1013116342.

Contact Information

Michelle K Pemble-frazey, PHD
9555 Upland Ln N,
Maple Grove, MN 55369
(952) 993-1440
Not Available



Healthcare Provider's Profile

Full NameMichelle K Pemble-frazey
GenderFemale
SpecialityClinical Psychologist
Experience19 Years
Location9555 Upland Ln N, Maple Grove, 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:
  • Michelle K Pemble-frazey graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1013116342
  • Provider Enumeration Date: 07/17/2007
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072605765
  • Enrollment ID: I20070827000276

Medical Identifiers

Medical identifiers for Michelle K Pemble-frazey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013116342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral LP4824 (Minnesota)Primary
103T00000XPsychologist LP4824 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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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. Michelle K Pemble-frazey allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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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. Michelle K Pemble-frazey 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
Michelle K Pemble-frazey, PHD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Michelle K Pemble-frazey, PHD
9555 Upland Ln N,
Maple Grove, MN 55369

Ph: (952) 993-1440

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Psychologist in Maple Grove, MN

Sally Rose Brinza, PHD LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369
Phone: 612-978-5058    Fax: 763-201-1095
Dr. Michaela Monetti, PH.D., LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 14500 99th Ave N, Maple Grove, MN 55369
Phone: 763-898-1000    
Dr. Jennifer G Enstad, PSY.D., L.P.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369
Phone: 763-416-4167    Fax: 763-416-4137
Dr. Matthew Kingsbury, PSYD, LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 11316 86th Ave N, Maple Grove, MN 55369
Phone: 763-400-8000    Fax: 763-400-8000
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 13603 80th Cir N, Maple Grove, MN 55369
Phone: 763-274-3120    
Dr. Teresa Biehn, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369
Phone: 952-993-1440    

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