Mr Charles Joseph Mishek, MA, LP, LADC is a
Psychologist - Addiction (substance Use Disorder) based in Saint Paul, Minnesota. Mr Charles Joseph Mishek is licensed to practice in Minnesota (license number LP 2598) and his current practice location is
445 Etna St, Suite 55, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 254-9443.
NPI number for Mr Charles Joseph Mishek is 1932325735 and his current mailing address is 445 Etna St, Suite 55, Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932325735.
Healthcare Provider's Profile
| Full Name | Mr Charles Joseph Mishek |
|---|
| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 445 Etna St, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932325735
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Charles Joseph Mishek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932325735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300312 (Minnesota) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | LP 2598 (Minnesota) | Primary |
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. Mr Charles Joseph Mishek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Charles Joseph Mishek, MA, LP, LADC
445 Etna St, Suite 55,
Saint Paul, MN 55106-5857
Ph: (651) 254-9443 | Mr Charles Joseph Mishek, MA, LP, LADC
445 Etna St, Suite 55,
Saint Paul, MN 55106-5857
Ph: (651) 254-9443 |
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