| Bonnie J Betts, PSYD, LP | |
|
501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | |
| (507) 835-1210 | |
| (507) 837-4280 |
| Full Name | Bonnie J Betts |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 501 N State St, Waseca, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306821129 | NPI | - | NPPES |
| 295J6BE | Other | MN | MNCARE |
| 295J6BE | Other | MN | BCBS |
| NA9501007681 | Other | MN | PREFERRED ONE |
| 114939 | Other | MN | MNCARE-U |
| HP28643 | Other | MN | HEALTH PARTNERS |
| P00054204 | Other | MN | MEDICARE - RAILROAD |
| 323553000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP0873 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740256668 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003933 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie J Betts, PSYD, LP 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 Ph: (507) 835-1210 | Bonnie J Betts, PSYD, LP 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 Ph: (507) 835-1210 |
Dr. Mattilan Winter Martin Correa, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 5th St Sw, Waseca, MN 56093 Phone: 612-619-6421 |