| Kathleen A Trott, MD | |
|
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
| (952) 993-3123 | |
| Not Available |
| Full Name | Kathleen A Trott |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295739068 | NPI | - | NPPES |
| 34416800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 45647 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 72884 (Minnesota) | Primary |
| Entity Name | Group Health Cooperative Of South Central Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
| Entity Name | Psychiatric Consultants & Therapists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700818119 PECOS PAC ID: 5092740985 Enrollment ID: O20050929000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen A Trott, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kathleen A Trott, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3123 |
John M Worley, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Ste E500, St Louis Park, MN 55426 Phone: 952-993-7342 | |
Jongsok Pak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
Dr. Nancy M Collins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
Dr. Sotirios Andreas Parashos, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 | |
Kimberly A Fitch, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3307 | |
Dr. Kirsten Kesseboehmer Johnson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
John G Davenport, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426 Phone: 952-993-7342 |