Gwen N Feddema, | |
1900 Centracare Cir, Saint Cloud, MN 56303-5000 | |
(320) 229-4918 | |
Not Available |
Full Name | Gwen N Feddema |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1900 Centracare Cir, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659092757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14698 (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 14698 (Minnesota) | Primary |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Gwen N Feddema, 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 229-4918 | Gwen N Feddema, 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 229-4918 |
Patricia Ann Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Brittany Holstein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6418 | |
Katherine Carol Logeais Hissam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6328 | |
Carrie Gapinski, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W Saint Germain St Ste 202, Saint Cloud, MN 56301 Phone: 320-247-4068 | |
Lyndsey Lanes, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 | |
Erin Talberg, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-654-7662 | |
Jamie Nicole Schmitz, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480 |