Gary L Blount, MD | |
360 Sherman St, Fort Road Medical Building, Suite 100, Saint Paul, MN 55102-2564 | |
(651) 241-5080 | |
(651) 241-5958 |
Full Name | Gary L Blount |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 360 Sherman St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326008442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35118 (Minnesota) | Primary |
Entity Name | Bushman Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861580607 PECOS PAC ID: 8820994668 Enrollment ID: O20031211000284 |
Mailing Address | Practice Location Address |
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Gary L Blount, MD Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813 | Gary L Blount, MD 360 Sherman St, Fort Road Medical Building, Suite 100, Saint Paul, MN 55102-2564 Ph: (651) 241-5080 |
Dr. Walter Kenneth Rush Iv, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 275 4th St E, Saint Paul, MN 55101 Phone: 651-389-4690 Fax: 651-389-4691 | |
Mark Leon Willenbring, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 745 Victoria St S, Saint Paul, MN 55102 Phone: 202-379-6736 | |
Dr. Foster Rood Renwick, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4786 | |
Ellen N Garbo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 45 10th St W, Saint Paul, MN 55102 Phone: 651-232-3640 Fax: 651-232-3632 | |
Betty J Ong, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-325-2121 Fax: 651-325-2122 | |
Dr. Frances S Go, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 360 Sherman St, Suite 100, Saint Paul, MN 55102 Phone: 651-241-5959 | |
Sarah Jane Kottke, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8860 |