| Branden Smith, | |
|
720 3rd Ave Se Ste 4, Perham, MN 56573-1752 | |
| (218) 422-6131 | |
| Not Available |
| Full Name | Branden Smith |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 720 3rd Ave Se Ste 4, Perham, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861063430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4337 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Solutions Behavioral Healthcare Professionals Pc | 0345209524 | 30 |
| Entity Name | Solutions Behavioral Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801909239 PECOS PAC ID: 0345209524 Enrollment ID: O20060125000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Branden Smith, 113 Minnesota Ave, Detroit Lakes, MN 56501-2420 Ph: (218) 849-9810 | Branden Smith, 720 3rd Ave Se Ste 4, Perham, MN 56573-1752 Ph: (218) 422-6131 |
Dana Marie Boeckers, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-249-1507 |
Bridgit Pankonin, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 155 2nd Ave Sw, Perham, MN 56573 Phone: 218-422-6131 |
Caleb Carl Loge, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-249-1507 |
Sherri Evelyn-leilani Clark, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 3rd Ave Se Ste 4, Perham, MN 56573 Phone: 218-422-6131 |
James Broton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St Sw, Perham, MN 56573 Phone: 218-422-6131 Fax: 218-346-2060 |
Steven Robert Braukmann, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-249-1507 |
Mr. John J Zajac, LADC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 E Main St, Perham, MN 56573 Phone: 218-346-6100 Fax: 218-346-6112 |