Diane Pease, is a
Massage Therapist based in Long Lake, Minnesota. Diane Pease is licensed to practice in * (Not Available) (license number ) and her current practice location is
2160 W Wayzata Blvd, Long Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 590-1327.
NPI number for Diane Pease is 1245690874 and her current mailing address is 2160 W Wayzata Blvd, Long Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245690874.
Healthcare Provider's Profile
| Full Name | Diane Pease |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 2160 W Wayzata Blvd, Long Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245690874
- Provider Enumeration Date: 02/24/2016
- Last Update Date: 02/24/2016
Medical Identifiers
Medical identifiers for Diane Pease such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245690874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (* (Not Available)) | 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. Diane Pease 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 |
|---|
Diane Pease,
2160 W Wayzata Blvd,
Long Lake, MN 55356-1100
Ph: (612) 590-1327 | Diane Pease,
2160 W Wayzata Blvd,
Long Lake, MN 55356-1100
Ph: (612) 590-1327 |
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