| Justin Quilop Garcia, MD | |
|
8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 | |
| (651) 254-8580 | |
| Not Available |
| Full Name | Justin Quilop Garcia |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8550 Hudson Blvd N, Lake Elmo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740785708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 67127 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Quilop Garcia, MD 1000 E 24th St, Kansas City, MO 64108-2776 Ph: (816) 512-7439 | Justin Quilop Garcia, MD 8550 Hudson Blvd N, Lake Elmo, MN 55042-5500 Ph: (651) 254-8580 |
Dr. Kent Gregory Brockmann, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8673 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-209-9383 Fax: 651-209-9384 | |
Cory Edward Sykora, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042 Phone: 612-879-1000 Fax: 612-879-9116 | |
Amee Natvar Chandrabalan, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8515 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042 Phone: 612-879-1000 Fax: 612-879-9116 | |
Kelania Jimenez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8550 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 612-371-5400 |