| Dr Janica Sue Edwards, LP | |
|
300 5th Ave Ne, Isanti, MN 55040-2205 | |
| (763) 688-9700 | |
| Not Available |
| Full Name | Dr Janica Sue Edwards |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 12 Years |
| Location | 300 5th Ave Ne, Isanti, 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 |
|---|---|---|---|
| 1770948028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP5973 (Minnesota) | Secondary |
| 103T00000X | Psychologist | LP5973 (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 | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| 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 |
|---|---|
| Dr Janica Sue Edwards, LP 38873 14th Ave, Suite 7, North Branch, MN 55056-6079 Ph: (651) 401-3064 | Dr Janica Sue Edwards, LP 300 5th Ave Ne, Isanti, MN 55040-2205 Ph: (763) 688-9700 |
Mr. Steven Charles Yund, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29484 Holly St Nw, Isanti, MN 55040 Phone: 763-444-6579 | |
Sean Joseph Fields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 401 E Dual Blvd Ste 120, Isanti, MN 55040 Phone: 763-248-9324 |