| Jeffrey Pounds, LP | |
|
220 Railroad St Se, Pine City, MN 55063-1540 | |
| (320) 629-7600 | |
| (320) 629-7900 |
| Full Name | Jeffrey Pounds |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 220 Railroad St Se, Pine City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275552267 | NPI | - | NPPES |
| 03N75PO | Other | MN | BCBS |
| HP 60172 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP 4626 (Minnesota) | Primary |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Pounds, LP 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Jeffrey Pounds, LP 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 |
Dr. Kari Michelle-ferber Maynard, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 520 2nd Ave Se, Pine City, MN 55063 Phone: 320-322-5130 | |
Katherine Elizabeth Johnson, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Railroad St Se, Pine City, MN 55063 Phone: 320-629-7600 Fax: 651-925-0071 | |
Mr. James T Molberg, LP Psychologist Medicare: Medicare Enrolled Practice Location: 900 Golf Ave Sw, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 | |
Mr. Scott Robert Emmons, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Golf Ave Sw, Pine City, MN 55063 Phone: 320-629-7600 Fax: 320-629-7900 |