Bluestem Center For Child And Family Development, P.a. | |
124 Elton Hills Ln Nw Rochester MN 55901-3577 | |
(507) 282-1009 | |
Not Available |
Full Name | Bluestem Center For Child And Family Development, P.a. |
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Speciality | Clinic/Center |
Location | 124 Elton Hills Ln Nw, Rochester, Minnesota |
Authorized Official Name and Position | Susan C Jenkins (PRESIDENT) |
Authorized Official Contact | 5072821009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bluestem Center For Child And Family Development, P.a. 124 Elton Hills Ln Nw Rochester MN 55901-3577 Ph: (507) 282-1009 | Bluestem Center For Child And Family Development, P.a. 124 Elton Hills Ln Nw Rochester MN 55901-3577 Ph: (507) 282-1009 |
NPI Number | 1003868167 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 09/16/2014 |
Medicare PECOS PAC ID | 4688639784 |
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Medicare Enrollment ID | O20041201000078 |
Identifier | Type | State | Issuer |
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1003868167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Megan E Rogers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083849095 PECOS PAC ID: 2860544509 Enrollment ID: I20090710000235 |
Provider Name | Jeanne Allen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417938242 PECOS PAC ID: 6709938095 Enrollment ID: I20090717000116 |
Provider Name | Brandy D Brown |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780914507 PECOS PAC ID: 0941332316 Enrollment ID: I20100720001058 |
Provider Name | Nandita Chawla |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437216264 PECOS PAC ID: 3577740455 Enrollment ID: I20110601000459 |
Provider Name | Mark M Sherman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073532651 PECOS PAC ID: 1759555675 Enrollment ID: I20111110000637 |
Provider Name | Susan C Jenkins |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245259811 PECOS PAC ID: 7012972110 Enrollment ID: I20111215000332 |
Provider Name | Annette M Clark |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366828477 PECOS PAC ID: 1355659822 Enrollment ID: I20151002000031 |
Provider Name | Jordan P Hobbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740663798 PECOS PAC ID: 5698079747 Enrollment ID: I20160210000495 |
Provider Name | Rachel J Beukema |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396268348 PECOS PAC ID: 3072885532 Enrollment ID: I20170817001753 |
Provider Name | Kaibeh Benson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265065114 PECOS PAC ID: 1052741865 Enrollment ID: I20200420000216 |
Provider Name | John I Nwabugwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215530571 PECOS PAC ID: 0042624702 Enrollment ID: I20210121000517 |
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