| Being | |
|
871 Jefferson Ave Saint Paul MN 55102-2506 | |
| (651) 456-8912 | |
| (855) 407-1613 |
| Full Name | Being |
|---|---|
| Speciality | Social Worker |
| Location | 871 Jefferson Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jeffrey Raich (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6514568912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Being 871 Jefferson Ave Saint Paul MN 55102-2506 Ph: (514) 568-9126 | Being 871 Jefferson Ave Saint Paul MN 55102-2506 Ph: (651) 456-8912 |
| NPI Number | 1124384854 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 02/08/2022 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 1850706813 |
|---|---|
| Medicare Enrollment ID | O20210225000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124384854 | NPI | - | NPPES |
| 1124384854 | Medicaid | MN |
| Provider Name | Jeffrey Raich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093045965 PECOS PAC ID: 4385958099 Enrollment ID: I20150807014473 |
| Provider Name | Eleanor F Porter-nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548718869 PECOS PAC ID: 0749540441 Enrollment ID: I20180126002032 |
| Provider Name | Christina Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962908160 PECOS PAC ID: 7416206339 Enrollment ID: I20180824002380 |
| Provider Name | Amanda Lynn Braatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275025520 PECOS PAC ID: 4688917610 Enrollment ID: I20190515000766 |
| Provider Name | Casie Allyson Iwata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740784859 PECOS PAC ID: 6204163975 Enrollment ID: I20190805001123 |
| Provider Name | Dallas Teal Cossalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066195 PECOS PAC ID: 5597153817 Enrollment ID: I20211019001798 |
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