Bernie Jerome Menge, MA LMFT | |
1303 S Frontage Rd Ste 275, Hastings, MN 55033 | |
(651) 319-6484 | |
(651) 925-0442 |
Full Name | Bernie Jerome Menge |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1303 S Frontage Rd Ste 275, Hastings, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134490469 | NPI | - | NPPES |
113449046 | Medicaid | MN | |
1790212926 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 3335 (Minnesota) | Primary |
Entity Name | Family Revelations Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790212926 PECOS PAC ID: 2860831229 Enrollment ID: O20240417003768 |
Mailing Address | Practice Location Address |
---|---|
Bernie Jerome Menge, MA LMFT 1303 S Frontage Rd Ste 275, Hastings, MN 55033-2655 Ph: (651) 319-6484 | Bernie Jerome Menge, MA LMFT 1303 S Frontage Rd Ste 275, Hastings, MN 55033 Ph: (651) 319-6484 |
Robin C Ricard, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Vermillion St, Hastings, MN 55033 Phone: 651-437-2881 Fax: 651-437-3436 | |
Naomi Eden, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 S Frontage Rd Ste 200, Hastings, MN 55033 Phone: 651-500-0905 | |
Ms. Karyl Leanne Frye, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1425 4th St W, Hastings, MN 55033 Phone: 612-850-4437 | |
Kathleen Mary Henry, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 7th St E, Hastings, MN 55033 Phone: 651-438-2680 Fax: 651-319-0106 | |
Bradley Allen Fern, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 S Frontage Rd, Hastings, MN 55033 Phone: 651-500-1466 |