Craig Jon Vine, MD | |
2550 University Avenue West, Suite 229n, St Paul, MN 55114 | |
(651) 645-3115 | |
(651) 645-2752 |
Full Name | Craig Jon Vine |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 36 Years |
Location | 2550 University Avenue West, St Paul, Minnesota |
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 |
---|---|---|---|
1164400495 | NPI | - | NPPES |
317T6VI | Other | MN | BCBS OF MN |
1530494 | Other | MN | MEDICA |
786505800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 33712 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psych Recovery Inc | 3779633912 | 21 |
Entity Name | Psych Recovery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316189541 PECOS PAC ID: 3779633912 Enrollment ID: O20090610000426 |
Mailing Address | Practice Location Address |
---|---|
Craig Jon Vine, MD 2550 University Avenue West, Suite 229n, St Paul, MN 55114 Ph: (651) 645-3115 | Craig Jon Vine, MD 2550 University Avenue West, Suite 229n, St Paul, MN 55114 Ph: (651) 645-3115 |
Suzanne B Harris, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Healthpartners Regions Behavioral Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-254-9426 | |
Carol E Novak, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 640 Jackson Street, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 | |
Alex Solovey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 | |
Mario R Quinones, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Boulevard, Mail Stop 41104c, St Paul, MN 55101 Phone: 651-254-7900 Fax: 651-254-7908 | |
Dr. Tracy A Tomac, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St Mail Stop 11302c, Healthpartners Regions Behavioral Health-st Paul, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-254-9426 | |
Dr. Wangcai Gao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N #500, St Paul, MN 55102 Phone: 651-241-6550 |