| Jay F. Wilimek Llc | |
|
1526 30th St Nw Bemidji MN 56601-4133 | |
| (218) 751-0887 | |
| (218) 759-4807 |
| Full Name | Jay F. Wilimek Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1526 30th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Jay F. Wilimek (PRESIDENT) |
| Authorized Official Contact | 2187510887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay F. Wilimek Llc 1526 30th St. Nw Bemidji MN 56601-4133 Ph: (218) 751-0887 | Jay F. Wilimek Llc 1526 30th St Nw Bemidji MN 56601-4133 Ph: (218) 751-0887 |
| NPI Number | 1548507783 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 1052551264 |
|---|---|
| Medicare Enrollment ID | O20130711000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548507783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | LP0216 (Minnesota) | Primary |
| Provider Name | Jay Frederick Wilimek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750387320 PECOS PAC ID: 6406803758 Enrollment ID: I20140707001853 |
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