| Mark Hanson, | |
|
1455 Saint Francis Ave, Shakopee, MN 55379-3374 | |
| (952) 428-4062 | |
| Not Available |
| Full Name | Mark Hanson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1455 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780030387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC01712 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hanson, 513 Gooseberry Ln, Dundas, MN 55019-3978 Ph: () - | Mark Hanson, 1455 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 428-4062 |
Melissa Schmitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8476 | |
Karissa Joy Godel, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-974-3999 Fax: 952-448-6047 | |
Scott B Craig, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Lincoln St, Shakopee, MN 55379 Phone: 952-448-6557 Fax: 952-448-6047 | |
Kya Rud, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Marschall Rd Ste 100, Shakopee, MN 55379 Phone: 952-856-3932 Fax: 952-448-6047 | |
Mrs. Deanin Savon Willsun, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1317 Meadow Ct, Shakopee, MN 55379 Phone: 612-568-2357 | |
Piper K Ries, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 507-995-4782 | |
Amanda J Bruns, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 952-496-8565 |