Anna Chock, | |
1705 Anne St Nw, Bemidji, MN 56601-6151 | |
(218) 751-3280 | |
(218) 751-3298 |
Full Name | Anna Chock |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1705 Anne St Nw, Bemidji, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114461258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2074 (Minnesota) | Primary |
101YM0800X | Counselor - Mental Health | 01937 (Minnesota) | Secondary |
Entity Name | Sanford Health Of Northern Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Mailing Address | Practice Location Address |
---|---|
Anna Chock, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Anna Chock, 1705 Anne St Nw, Bemidji, MN 56601-6151 Ph: (218) 751-3280 |
Jessica L Scott, BS, LSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921 | |
Mr. John Alexander Eric Graham, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 110, Bemidji, MN 56601 Phone: 218-586-4057 | |
Jane Ella Phelps, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 4th St Nw Ste 300, Bemidji, MN 56601 Phone: 218-444-5155 Fax: 218-333-3921 | |
Christopher Lee Slough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298 | |
Hannah Wilson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5880 | |
Ms. Nicole Rae Dixon, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th Street Nw, Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298 | |
Dr. Kathleen Mary Irwin, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 15th St., Bemidji, MN 56601 Phone: 218-751-3280 Fax: 218-751-3298 |