Mr Russell R Fast, LICSW | |
1679 6th Ave W, Dickinson, ND 58601-2904 | |
(701) 483-1000 | |
(701) 483-1001 |
Full Name | Mr Russell R Fast |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 32 Years |
Location | 1679 6th Ave W, Dickinson, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578593026 | NPI | - | NPPES |
1455118 | Medicaid | ND | |
12990 | Other | ND | BC/BS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2212 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapy Solutions Llc | 0648455949 | 18 |
Entity Name | Therapy Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801195045 PECOS PAC ID: 0648455949 Enrollment ID: O20110502000567 |
Mailing Address | Practice Location Address |
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Mr Russell R Fast, LICSW 1679 6th Ave W, Dickinson, ND 58601-2904 Ph: (701) 483-1000 | Mr Russell R Fast, LICSW 1679 6th Ave W, Dickinson, ND 58601-2904 Ph: (701) 483-1000 |
Mrs. Brenda Jo Erie, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 448 21st St W Ste D1, Therapy Solutions, Dickinson, ND 58601 Phone: 701-483-1000 Fax: 701-483-1001 | |
Regina Marie Murray, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 2nd Ave E, Ste. B, Dickinson, ND 58601 Phone: 701-483-9720 | |
Channing Spradling, PCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1463 I94 Business Loop E, Dickinson, ND 58601 Phone: 701-227-7500 | |
Ms. Linda Kathryn Waller, LICSW, BCD, DCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 13th Ave W Ste 1, Dickinson, ND 58601 Phone: 701-227-7508 Fax: 701-227-7575 | |
Dawn Stewart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 13th Ave W Ste 1, Dickinson, ND 58601 Phone: 701-227-7500 Fax: 701-227-7575 | |
Gerald Mathias Dassinger, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 2nd Ave E, Suite B, Dickinson, ND 58601 Phone: 701-483-9720 |