|
| |
|
911 18th St N Saint Cloud MN 56303-1203 | |
| (320) 650-1550 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 18th St N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Joanne Broschofsky (FINANCE DIRECTOR) |
| Authorized Official Contact | 3206501571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2390 Saint Cloud MN 56302-2390 Ph: (320) 650-1550 | 911 18th St N Saint Cloud MN 56303-1203 Ph: (320) 650-1550 |
| NPI Number | 1780711341 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648165928 |
|---|---|
| Medicare Enrollment ID | O20040217000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780711341 | NPI | - | NPPES |
| DC6318 | Other | MN | RAILROAD MEDICARE PART B |
| Provider Name | Frances M Reichenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750444105 PECOS PAC ID: 1759577315 Enrollment ID: I20101122000357 |
| Provider Name | Alyssa N Knese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841793239 PECOS PAC ID: 4587927991 Enrollment ID: I20180418000736 |
| Provider Name | Jennifer M Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417585084 PECOS PAC ID: 5698189207 Enrollment ID: I20210121003094 |
| Provider Name | Beki L Asti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013240886 PECOS PAC ID: 6901946474 Enrollment ID: I20220317000998 |
| Provider Name | Diane Bosl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689765232 PECOS PAC ID: 5496813503 Enrollment ID: I20230918000229 |
| Provider Name | Chad M Bosl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821346735 PECOS PAC ID: 1951469063 Enrollment ID: I20240701000728 |
| Provider Name | Theresa Makoons-solarz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134165244 PECOS PAC ID: 9234440975 Enrollment ID: I20240805004000 |
| Provider Name | Larry R Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801537345 PECOS PAC ID: 9335591494 Enrollment ID: I20240807002844 |
St. Cloud Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1406 6th Ave North, Saint Cloud, MN 56303 Phone: 320-307-3676 Fax: 320-656-7009 | |
Gayle Neuerburg Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Northway Dr Ste 110, Saint Cloud, MN 56303 Phone: 218-721-2982 | |
St. Cloud Neurobehavioral Associates, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3812 8th St N Ste 200, Saint Cloud, MN 56303 Phone: 320-253-3833 Fax: 320-253-5741 | |
Cartwright Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1723 7th St Se, Saint Cloud, MN 56304 Phone: 612-324-1642 Fax: 612-421-0021 |