Mr Mike Vincent Burckhard, LICSW | |
315 Main St S, Suite 315, Minot, ND 58701-3956 | |
(701) 852-5876 | |
(701) 852-5883 |
Full Name | Mr Mike Vincent Burckhard |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 315 Main St S, Minot, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104814789 | NPI | - | NPPES |
17415 | Other | ND | BLUE CROSS ID NUMBER |
19118 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 120 (North Dakota) | Primary |
Entity Name | Burckhard Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346305190 PECOS PAC ID: 1850470972 Enrollment ID: O20080430000793 |
Mailing Address | Practice Location Address |
---|---|
Mr Mike Vincent Burckhard, LICSW 315 Main St S Ste 315, Minot, ND 58701-3956 Ph: (701) 852-5876 | Mr Mike Vincent Burckhard, LICSW 315 Main St S, Suite 315, Minot, ND 58701-3956 Ph: (701) 852-5876 |
Jennifer L Lusinger, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kenneth Backen, LICENSED ADDICTION C Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 N Broadway Ste 300, Minot, ND 58703 Phone: 701-537-4191 Fax: 701-786-7174 | |
Madison Schill, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 19th Ave Nw, Minot, ND 58703 Phone: 701-857-4207 Fax: 701-852-1190 | |
Mr. Luis Valencia Coca Iii, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 3rd St Se, Minot, ND 58701 Phone: 701-857-2480 | |
Robert Ramsay, LAC LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 S Broadway, Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Kate Turnbow, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 20 1st St Sw Ste 250, Minot, ND 58701 Phone: 701-852-3328 Fax: 651-925-0057 | |
Michaela Asburry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Burdick Expy E Ste 101, Minot, ND 58701 Phone: 701-335-6005 |