| Pamera Kezy, MSW, LICSW | |
|
5700 Bottineau Blvd, Crystal, MN 55429-3183 | |
| (844) 697-8766 | |
| Not Available |
| Full Name | Pamera Kezy |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 5700 Bottineau Blvd, Crystal, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790431195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 26670 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 459 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamera Kezy, MSW, LICSW 4816 Ensign Ave N, New Hope, MN 55428-4437 Ph: (612) 868-2614 | Pamera Kezy, MSW, LICSW 5700 Bottineau Blvd, Crystal, MN 55429-3183 Ph: (844) 697-8766 |
Shavon Swain, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Valley Pl, Crystal, MN 55427 Phone: 763-587-5104 | |
Ayesha Alam Qureshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 Fax: 763-330-2775 | |
Luca Oliver Lavallee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 | |
Delia Melissa Koolick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5701 Kentucky Ave N Ste 201, Crystal, MN 55428 Phone: 763-568-7223 | |
Seth Elliot Tupper, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5108 Lakeside Ave N, Crystal, MN 55429 Phone: 651-503-5780 Fax: 763-271-2707 | |
Mary Vorpahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 Fax: 763-330-2775 |