| Bernie Jerome Menge, MA LMFT | |
|
1303 S Frontage Rd Ste 275, Hastings, MN 55033 | |
| (651) 319-6484 | |
| (651) 925-0442 |
| Full Name | Bernie Jerome Menge |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1303 S Frontage Rd Ste 275, Hastings, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134490469 | NPI | - | NPPES |
| 113449046 | Medicaid | MN | |
| 1790212926 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 3335 (Minnesota) | Primary |
| Entity Name | Family Revelations Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790212926 PECOS PAC ID: 2860831229 Enrollment ID: O20240417003768 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernie Jerome Menge, MA LMFT 1303 S Frontage Rd Ste 275, Hastings, MN 55033-2655 Ph: (651) 319-6484 | Bernie Jerome Menge, MA LMFT 1303 S Frontage Rd Ste 275, Hastings, MN 55033 Ph: (651) 319-6484 |
Robin C Ricard, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Vermillion St, Hastings, MN 55033 Phone: 651-437-2881 Fax: 651-437-3436 | |
Lauren Noel, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 906 Vermillion St, Hastings, MN 55033 Phone: 651-212-4920 Fax: 651-212-4794 | |
Naomi Eden, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 S Frontage Rd Ste 200, Hastings, MN 55033 Phone: 651-500-0905 | |
Ms. Karyl Leanne Frye, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1425 4th St W, Hastings, MN 55033 Phone: 612-850-4437 | |
Kathleen Mary Henry, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 7th St E, Hastings, MN 55033 Phone: 651-438-2680 Fax: 651-319-0106 | |
Bradley Allen Fern, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 S Frontage Rd, Hastings, MN 55033 Phone: 651-500-1466 |