Paul Jonathan Dirkse, | |
14949 62nd St N, Stillwater, MN 55082-6132 | |
(651) 275-7400 | |
(651) 275-7401 |
Full Name | Paul Jonathan Dirkse |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 14949 62nd St N, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205395613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23459 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Paul Jonathan Dirkse, 14949 62nd St N, Stillwater, MN 55082-6132 Ph: (651) 275-7400 | Paul Jonathan Dirkse, 14949 62nd St N, Stillwater, MN 55082-6132 Ph: (651) 275-7400 |
Jody Kay Dunlap, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 | |
Anne Christine Gettle, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 | |
Linda Sue Reinhardt-sondrall, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Oren Ave N, Stillwater, MN 55082 Phone: 651-430-0888 Fax: 651-430-0889 | |
Ms. Heidi Mae Presslein, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Chestnut St E, Stillwater, MN 55082 Phone: 651-275-0441 Fax: 651-430-3699 | |
Sarah Glendenning Saldin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 | |
Kimberly A Poitra, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-430-2720 Fax: 651-351-3155 | |
Ms. Mary Elizabeth Wilkening, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 |