| Mollie Hauser, | |
|
4000 28th Ave S, Moorhead, MN 56560-7926 | |
| (701) 234-3200 | |
| Not Available |
| Full Name | Mollie Hauser |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4000 28th Ave S, Moorhead, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396310546 | NPI | - | NPPES |
| 1588993091 | Medicaid | MN |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie Hauser, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mollie Hauser, 4000 28th Ave S, Moorhead, MN 56560-7926 Ph: (701) 234-3200 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Beth Louise Brantner, M.ED./LAC/LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 9th St N, Moorhead, MN 56560 Phone: 701-429-4866 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |