Dr Carole (nickey) Galush Larson, PSYD LP LMFT LADC is a medicare enrolled "Psychologist" provider in Edina, Minnesota. Her current practice location is
7400 Metro Blvd, Suite 215, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 929-8432.
Dr Carole (nickey) Galush Larson is licensed to practice in Minnesota (license number 1810) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1538202890.
Healthcare Provider's Profile
| Full Name | Dr Carole (nickey) Galush Larson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 7400 Metro Blvd, Edina, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carole (nickey) Galush Larson attended and graduated from in
NPI Data:
- NPI Number: 1538202890
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 11/02/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Carole (nickey) Galush Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538202890 | NPI | - | NPPES |
| 122275 | Other | | HEALTH PARTNERS FINANCIAL |
| 46715LA | Other | | BCBS INDIVIDUAL |
| 563350800 | Medicaid | MN | |
| 46714LA | Other | | BCBS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300756 (Minnesota) | Secondary |
| 103T00000X | Psychologist | 1810 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 466 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carole (nickey) Galush Larson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carole (nickey) Galush Larson, PSYD LP LMFT LADC
7400 Metro Blvd, Suite 215,
Edina, MN 55439-2316
Ph: (952) 929-8432 | Dr Carole (nickey) Galush Larson, PSYD LP LMFT LADC
7400 Metro Blvd, Suite 215,
Edina, MN 55439-2316
Ph: (952) 929-8432 |
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