| Mr Benjamin Mahmoud Rastegari, LPCC | |
|
7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | |
| (612) 741-6363 | |
| Not Available |
| Full Name | Mr Benjamin Mahmoud Rastegari |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 7066 Stillwater Blvd N, Oakdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649729492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | CC01294 (Minnesota) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benjamin Mahmoud Rastegari, LPCC 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (612) 741-6363 | Mr Benjamin Mahmoud Rastegari, LPCC 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (612) 741-6363 |
Dr. Thomas Guy Farrington, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-251-5130 | |
Stacia R Hanson, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 | |
Julia Louise Conkel Ziebell, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 | |
Morgan Avery Krause, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 | |
Dr. James Wojcik, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 | |
Dr. Mark Kuppe, PSY.D., LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 | |
Kevin Horst, M.A., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7066 Stillwater Blvd N, Oakdale, MN 55128 Phone: 651-777-5222 Fax: 651-251-5111 |