| Kyleeann Sophia Stevens, MD | |
|
400 4th St Nw, Faribault, MN 55021-5089 | |
| (507) 384-6830 | |
| (651) 431-7757 |
| Full Name | Kyleeann Sophia Stevens |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 23 Years |
| Location | 400 4th St Nw, Faribault, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427234475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 58689 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 58689 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Cities Clinic | 7517912991 | 6 |
| Entity Name | Anoka Metro Regional Treatment Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275585564 PECOS PAC ID: 9335135375 Enrollment ID: O20040423000711 |
| Entity Name | Southern Cities Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437218740 PECOS PAC ID: 7517912991 Enrollment ID: O20050318000140 |
| Entity Name | Child & Adolescent Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1285760363 PECOS PAC ID: 5991946840 Enrollment ID: O20241107002510 |
| Entity Name | Community Behavioral Health Hospital Bemidji |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1043331358 PECOS PAC ID: 1658465315 Enrollment ID: O20241107003318 |
| Entity Name | Community Behavioral Health Hospital-baxter |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1487715033 PECOS PAC ID: 1456457662 Enrollment ID: O20241125000645 |
| Entity Name | Community Behavioral Health Hospital-alexandria |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1386676799 PECOS PAC ID: 3274540281 Enrollment ID: O20241126000752 |
| Entity Name | Community Behavioral Health Hospital-fergus Falls |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1962583039 PECOS PAC ID: 8426155466 Enrollment ID: O20241126001176 |
| Entity Name | Community Behavioral Health Hospital-rochester |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1669418851 PECOS PAC ID: 7618074659 Enrollment ID: O20250102001186 |
| Entity Name | Community Behavioral Health Hospital-annandale |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1225130487 PECOS PAC ID: 7113025453 Enrollment ID: O20250107001844 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyleeann Sophia Stevens, MD 3200 Labore Rd Ste 104, Vadnais Heights, MN 55110-5186 Ph: (651) 539-7200 | Kyleeann Sophia Stevens, MD 400 4th St Nw, Faribault, MN 55021-5089 Ph: (507) 384-6830 |
Dr. Frederick William Houts, M.D., M.S. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 4th St Nw, Faribault, MN 55021 Phone: 507-384-6830 Fax: 651-431-7757 | |
Dr. Frederick Richard Ferron, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Western Avenue, Faribault, MN 55021 Phone: 507-333-2028 | |
James Layne Moore, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 State Ave, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3387 |