Brett Sharockman, | |
11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 | |
(952) 746-2522 | |
Not Available |
Full Name | Brett Sharockman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11010 Prairie Lakes Dr Ste 350, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104414515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4208 (Minnesota) | Primary |
Entity Name | Nystrom & Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Brett Sharockman, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566 | Brett Sharockman, 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344-3801 Ph: (952) 746-2522 |
Aaron Leander Grier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7525 Mitchell Rd, Eden Prairie, MN 55344 Phone: 952-224-2282 Fax: 952-224-2284 | |
Peter Joseph Dorsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Chestnut Drive, Eden Prairie, MN 55347 Phone: 612-226-3106 | |
Mr. Richard Arthur Rittmaster, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344 Phone: 952-746-2522 Fax: 952-746-0887 | |
Toby Dennert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7525 Mitchell Rd, Suite 100, Eden Prairie, MN 55344 Phone: 952-224-2282 | |
Claire Rosen, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Prairie Center Dr Ste 210, Eden Prairie, MN 55344 Phone: 952-234-9210 | |
Mrs. Susan Elizabeth Zaugg, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 | |
Josi Wylynn Carter, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 |