| Mr James R Knutson, LICENSED PSYCHOLOGIS | |
|
891 Belsly Blvd, Moorhead, MN 56560-5055 | |
| (218) 287-4338 | |
| (218) 287-5928 |
| Full Name | Mr James R Knutson |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 891 Belsly Blvd, 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 |
|---|---|---|---|
| 1548354640 | NPI | - | NPPES |
| 19565KU | Other | MN | BLUE CROSS |
| 995817700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3487 (Minnesota) | Primary |
| Entity Name | Greater Minnesota Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598163503 PECOS PAC ID: 2365893369 Enrollment ID: O20240103003596 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James R Knutson, LICENSED PSYCHOLOGIS 891 Belsly Blvd, Moorhead, MN 56560-5055 Ph: (218) 287-4338 | Mr James R Knutson, LICENSED PSYCHOLOGIS 891 Belsly Blvd, Moorhead, MN 56560-5055 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 |