| Krislea Erin Wegner, PHD | |
|
1606 C 30th Ave S, Moorhead, MN 56560 | |
| (218) 287-4338 | |
| (218) 287-5928 |
| Full Name | Krislea Erin Wegner |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 1606 C 30th Ave S, Moorhead, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306930417 | NPI | - | NPPES |
| 13681 | Medicaid | ND | |
| 26579 | Other | ND | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4648 (Minnesota) | Primary |
| 103TC0700X | Psychologist - Clinical | 383 (North Dakota) | Secondary |
| Entity Name | West Central Human Service Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226713 PECOS PAC ID: 6002801107 Enrollment ID: O20040419000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Krislea Erin Wegner, PHD 1606 C 30th Ave S, Moorhead, MN 56560 Ph: (218) 287-4338 | Krislea Erin Wegner, PHD 1606 C 30th Ave S, Moorhead, MN 56560 Ph: (218) 287-4338 |
Jan Karen Witte-bakken, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Mr. Robert A Hinman, MED Psychologist Medicare: Accepting Medicare Assignments Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Dr. Carol Collette Follingstad, PSY.D. LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1132 28th Ave S, Suite 102, Moorhead, MN 56560 Phone: 218-731-2320 Fax: 218-867-3712 | |
Sara L Jensen Fritz, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928 | |
Alisson Lass, Psychologist Medicare: Medicare Enrolled Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200 | |
Justin Casey Phillippi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1017 11th St S, Moorhead, MN 56560 Phone: 701-388-9346 | |
Brianna J Crawford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3100 |