Siri Ts Eidsmo, is a
Social Worker based in Minneapolis, Minnesota. Siri Ts Eidsmo is licensed to practice in Minnesota (license number 30140) and her current practice location is
2118 Blaisdell Ave, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 201-2758.
NPI number for Siri Ts Eidsmo is 1295497055 and her current mailing address is 13579 Berkshire Ln, Eden Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295497055.
Healthcare Provider's Profile
| Full Name | Siri Ts Eidsmo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2118 Blaisdell Ave, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295497055
- Provider Enumeration Date: 10/08/2021
- Last Update Date: 10/08/2021
Medical Identifiers
Medical identifiers for Siri Ts Eidsmo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295497055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306131 (Minnesota) | Secondary |
| 104100000X | Social Worker | 30140 (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. Siri Ts Eidsmo 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 |
|---|
Siri Ts Eidsmo,
13579 Berkshire Ln,
Eden Prairie, MN 55347-1702
Ph: (218) 341-6835 | Siri Ts Eidsmo,
2118 Blaisdell Ave,
Minneapolis, MN 55404-2415
Ph: (651) 201-2758 |
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