Wyatt Thomas, | |
1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 | |
(952) 460-9003 | |
Not Available |
Full Name | Wyatt Thomas |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1700 Highway 36 W Ste 130, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194488080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 28233 (Minnesota) | Primary |
Entity Name | Mental Health Systems, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497835656 PECOS PAC ID: 5496710790 Enrollment ID: O20041129000593 |
Mailing Address | Practice Location Address |
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Wyatt Thomas, 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 Ph: () - | Wyatt Thomas, 1700 Highway 36 W Ste 130, Roseville, MN 55113-4054 Ph: (952) 460-9003 |
Samuel Johnson, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2680 Snelling Ave N Ste 200, Roseville, MN 55113 Phone: 651-364-9381 | |
Andrea Mccormick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W Ste 310, Roseville, MN 55113 Phone: 651-252-7755 Fax: 612-331-3520 | |
Lisa M Borneman, DSW, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N Ste 512, Roseville, MN 55113 Phone: 651-690-6721 | |
Jean Gregg, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2233 Hamline Ave N Ste 435, Roseville, MN 55113 Phone: 651-216-1935 | |
Errin Marie Musich, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2277 Highway 36 W Ste 160, Roseville, MN 55113 Phone: 763-575-8086 | |
Cimena Gordon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Highway 36 W, Suite 310, Roseville, MN 55113 Phone: 651-224-2172 | |
Samantha Oren, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Snelling Ave N Ste 400, Roseville, MN 55113 Phone: 763-210-4698 |