Edwinna Gates Sackariason, LMT is a
Massage Therapist based in New Brighton, Minnesota. Edwinna Gates Sackariason is licensed to practice in Florida (license number MA8782) and her current practice location is
1901 Fredeen Ct, New Brighton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 653-0786.
NPI number for Edwinna Gates Sackariason is 1437467107 and her current mailing address is 1901 Fredeen Ct, New Brighton, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437467107.
Healthcare Provider's Profile
| Full Name | Edwinna Gates Sackariason |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 1901 Fredeen Ct, New Brighton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437467107
- Provider Enumeration Date: 09/15/2010
- Last Update Date: 09/15/2010
Medical Identifiers
Medical identifiers for Edwinna Gates Sackariason such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437467107 | NPI | - | NPPES |
| 103503 | Other | MN | ABMP |
| 7068-00 | Other | MN | NCTMB |
| MA8782 | Other | FL | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA8782 (Florida) | 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. Edwinna Gates Sackariason 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 |
|---|
Edwinna Gates Sackariason, LMT
1901 Fredeen Ct,
New Brighton, MN 55112-2412
Ph: (651) 653-0786 | Edwinna Gates Sackariason, LMT
1901 Fredeen Ct,
New Brighton, MN 55112-2412
Ph: (651) 653-0786 |
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