| Behavioral Medicine Associates, Inc. | |
|
3300 Edinborough Way Suite 204 Edina MN 55435-5923 | |
| (952) 844-0619 | |
| (952) 844-0628 |
| Full Name | Behavioral Medicine Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3300 Edinborough Way, Edina, Minnesota |
| Authorized Official Name and Position | Elizabeth M. Nash (MANAGER) |
| Authorized Official Contact | 9528440619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Associates, Inc. 3300 Edinborough Way Suite 204 Edina MN 55435-5923 Ph: (952) 844-0619 | Behavioral Medicine Associates, Inc. 3300 Edinborough Way Suite 204 Edina MN 55435-5923 Ph: (952) 844-0619 |
| NPI Number | 1760549893 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012083405 |
|---|---|
| Medicare Enrollment ID | O20080909000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760549893 | NPI | - | NPPES |
| 4K592BE | Other | MN | BCBSMN GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP0181 (Minnesota) | Primary |
| Provider Name | John K Nash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790842821 PECOS PAC ID: 8820164213 Enrollment ID: I20080909000413 |
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