| Caroline Nicole Weiss, PSYD, LP | |
|
10705 Town Square Dr Ne Ste 100, Blaine, MN 55449-8185 | |
| (763) 236-5400 | |
| (763) 236-5350 |
| Full Name | Caroline Nicole Weiss |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 23 Years |
| Location | 10705 Town Square Dr Ne Ste 100, Blaine, 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 |
|---|---|---|---|
| 1235157397 | NPI | - | NPPES |
| 410640700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP4614 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Nicole Weiss, PSYD, LP Po Box 43, Minneapolis, MN 55440-0043 Ph: (612) 262-1166 | Caroline Nicole Weiss, PSYD, LP 10705 Town Square Dr Ne Ste 100, Blaine, MN 55449-8185 Ph: (763) 236-5400 |
Dr. Amy Moran Wheelecor, PSYD, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 10729 Town Square Dr Ne Ste 120, Blaine, MN 55449 Phone: 763-343-9010 | |
Melinda Marie Lowry, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10028 Pierce St Ne Unit A, Blaine, MN 55434 Phone: 763-218-9111 | |
Sara Werner, MA, LP, RPT-S, SEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3753 Fax: 763-703-3753 | |
Ms. Kathleen G Bergman, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10267 Univ Ave N, St 203, Blaine, MN 55434 Phone: 612-210-0367 Fax: 763-786-5462 |