| Beevor Psychiatry Services, Inc. | |
|
1002 Washington Ave S Bemidji MN 56601-3453 | |
| (218) 444-8090 | |
| (218) 333-9434 |
| Full Name | Beevor Psychiatry Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 Washington Ave S, Bemidji, Minnesota |
| Authorized Official Name and Position | Julie Ann Beevor (OWNER) |
| Authorized Official Contact | 2183688007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beevor Psychiatry Services, Inc. 1002 Washington Ave S Bemidji MN 56601-3453 Ph: (218) 444-8090 | Beevor Psychiatry Services, Inc. 1002 Washington Ave S Bemidji MN 56601-3453 Ph: (218) 444-8090 |
| NPI Number | 1851990709 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 03/18/2023 |
| Certification Date | 03/18/2023 |
| Medicare PECOS PAC ID | 9739592213 |
|---|---|
| Medicare Enrollment ID | O20201229002667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851990709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie A Beevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053921080 PECOS PAC ID: 7810300308 Enrollment ID: I20201229002790 |
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