Benedict A Walz, MS MDV MAC LADC LMFT is a
Community/behavioral Health based in Saint Cloud, Minnesota. Benedict A Walz is licensed to practice in * (Not Available) (license number 1763 & 302151) and his current practice location is
3333 W Division St, Midtown Square Suite # 210, Saint Cloud, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 252-5781.
NPI number for Benedict A Walz is 1043376635 and his current mailing address is 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043376635.
Healthcare Provider's Profile
| Full Name | Benedict A Walz |
|---|
| Gender | Male |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 3333 W Division St, Saint Cloud, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043376635
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 03/17/2010
Medical Identifiers
Medical identifiers for Benedict A Walz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043376635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302151 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | #1763 LMFT (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | #302151 (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 1763 (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 1763 & 302151 (* (Not Available)) | Primary |
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. Benedict A Walz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benedict A Walz, MS MDV MAC LADC LMFT
3333 W Division St, Midtown Square Suite # 210,
Saint Cloud, MN 56301-4515
Ph: (320) 252-5781 | Benedict A Walz, MS MDV MAC LADC LMFT
3333 W Division St, Midtown Square Suite # 210,
Saint Cloud, MN 56301-4515
Ph: (320) 252-5781 |
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