| Dr. Beth A. Good Dnp, Aprn, Pmhcns-bc, Llc | |
|
145 2nd Ave Se Cambridge MN 55008-1602 | |
| (320) 496-4663 | |
| (866) 435-1128 |
| Full Name | Dr. Beth A. Good Dnp, Aprn, Pmhcns-bc, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 2nd Ave Se, Cambridge, Minnesota |
| Authorized Official Name and Position | Beth Ann Good (CEO) |
| Authorized Official Contact | 3204920329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Beth A. Good Dnp, Aprn, Pmhcns-bc, Llc 145 2nd Ave Se Cambridge MN 55008-1602 Ph: (320) 496-4663 | Dr. Beth A. Good Dnp, Aprn, Pmhcns-bc, Llc 145 2nd Ave Se Cambridge MN 55008-1602 Ph: (320) 496-4663 |
| NPI Number | 1205319464 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 8527311216 |
|---|---|
| Medicare Enrollment ID | O20181026000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205319464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Beth Ann Good |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568594497 PECOS PAC ID: 5496789752 Enrollment ID: I20050926000633 |
| Provider Name | John G Luehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699842138 PECOS PAC ID: 9931268497 Enrollment ID: I20081112000741 |
| Provider Name | Teresa Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417382839 PECOS PAC ID: 5395970537 Enrollment ID: I20201007001500 |
| Provider Name | Wendi Tvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020842 PECOS PAC ID: 0446623243 Enrollment ID: I20230225000430 |
| Provider Name | Sara Rae Ocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427624584 PECOS PAC ID: 8628441458 Enrollment ID: I20230227001303 |
| Provider Name | Shayna Marie Hamiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457975419 PECOS PAC ID: 1951758481 Enrollment ID: I20231106001737 |
| Provider Name | Lori Joanne Engblom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396022851 PECOS PAC ID: 6709237605 Enrollment ID: I20240104002618 |
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