Christopher Brys Davis, MSN LICSW | |
210 20th St S, New Ulm, MN 56073-2223 | |
(507) 766-7685 | |
(507) 216-6600 |
Full Name | Christopher Brys Davis |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 210 20th St S, New Ulm, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184738882 | NPI | - | NPPES |
943071045367 | Other | PREFERRED ONE | |
6238565 | Other | MEDICA | |
802944000 | Medicaid | MA | |
289P6DA | Other | BCBS | |
I15582 | Other | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 17460 (Minnesota) | Primary |
Entity Name | Prairie Family Counseling, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952841413 PECOS PAC ID: 5799220232 Enrollment ID: O20240709003577 |
Mailing Address | Practice Location Address |
---|---|
Christopher Brys Davis, MSN LICSW 210 20th St S, New Ulm, MN 56073-2223 Ph: (507) 766-7685 | Christopher Brys Davis, MSN LICSW 210 20th St S, New Ulm, MN 56073-2223 Ph: (507) 766-7685 |
Erika Anne Sletten, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1217 8th St N, New Ulm, MN 56073 Phone: 507-217-5000 | |
Bonnie Rose Beranek-fortwengler, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1324 5th St N, New Ulm, MN 56073 Phone: 507-233-1000 Fax: 507-233-1198 | |
Penelope G Rivers, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1226 S Broadway St, New Ulm, MN 56073 Phone: 507-359-2080 Fax: 507-359-2086 | |
Ms. Jill Diane Kelpin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1407 S State Street, New Ulm, MN 56073 Phone: 507-354-3181 Fax: 507-354-3183 | |
Bradley Ross Vanover, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1407 S State St, New Ulm, MN 56073 Phone: 507-354-3181 Fax: 507-354-3183 | |
Amy J Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1407 S State St, New Ulm, MN 56073 Phone: 507-354-3181 Fax: 507-354-3183 |