| Minnesota Epilepsy Group Pa | |
|
2720 Fairview Ave N Ste 100 Roseville MN 55113-1306 | |
| (651) 241-5290 | |
| (651) 241-5248 |
| Full Name | Minnesota Epilepsy Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2720 Fairview Ave N Ste 100, Roseville, Minnesota |
| Authorized Official Name and Position | Paul Brian Atkinson (PRESIDENT) |
| Authorized Official Contact | 6513778322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Epilepsy Group Pa 2720 Fairview Ave N Ste 100 Roseville MN 55113-1306 Ph: (651) 241-5290 | Minnesota Epilepsy Group Pa 2720 Fairview Ave N Ste 100 Roseville MN 55113-1306 Ph: (651) 241-5290 |
| NPI Number | 1932118056 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Medicare PECOS PAC ID | 6709771363 |
|---|---|
| Medicare Enrollment ID | O20040220001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932118056 | NPI | - | NPPES |
| 543213800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kevin M Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164532537 PECOS PAC ID: 4880632595 Enrollment ID: I20050422000523 |
| Provider Name | Julie Estelle M Hanna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366634255 PECOS PAC ID: 5991871279 Enrollment ID: I20080910000601 |
| Provider Name | Robert C Doss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669480521 PECOS PAC ID: 4688700669 Enrollment ID: I20100329001066 |
| Provider Name | James White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851314173 PECOS PAC ID: 8921280520 Enrollment ID: I20110302001014 |
| Provider Name | Micaela T Chatman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902067002 PECOS PAC ID: 9335398494 Enrollment ID: I20121004000414 |
| Provider Name | Paul B Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023227162 PECOS PAC ID: 1052485620 Enrollment ID: I20130102000133 |
| Provider Name | Palak Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386871614 PECOS PAC ID: 1850608928 Enrollment ID: I20150922002297 |
| Provider Name | Nitin Agarwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587863 PECOS PAC ID: 1254636236 Enrollment ID: I20160301000183 |
| Provider Name | Heidi Mae Currier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861629578 PECOS PAC ID: 9537390893 Enrollment ID: I20161013000347 |
| Provider Name | Kinshuk Sahaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902092091 PECOS PAC ID: 6406097955 Enrollment ID: I20171024002965 |
| Provider Name | Douglas Michael Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518285725 PECOS PAC ID: 6800156084 Enrollment ID: I20180208000304 |
| Provider Name | Laurie E Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538664149 PECOS PAC ID: 3971868043 Enrollment ID: I20180521002850 |
| Provider Name | Jessica L Winslow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912264086 PECOS PAC ID: 1658629381 Enrollment ID: I20180813000215 |
| Provider Name | Suzanne A Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053936922 PECOS PAC ID: 2668898818 Enrollment ID: I20200818002907 |
| Provider Name | Kevin James Mckittrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932759842 PECOS PAC ID: 4981036340 Enrollment ID: I20210422001087 |
| Provider Name | Jennifer Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942805072 PECOS PAC ID: 9032518626 Enrollment ID: I20210602001374 |
| Provider Name | Serena Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649546813 PECOS PAC ID: 0547589657 Enrollment ID: I20211130000192 |
| Provider Name | Bryan Anthony Mendes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255711123 PECOS PAC ID: 4789986175 Enrollment ID: I20211130002169 |
| Provider Name | Eva Christine Igler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497376438 PECOS PAC ID: 4284024811 Enrollment ID: I20211214000546 |
| Provider Name | Kristen Anne Caffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942614136 PECOS PAC ID: 5193102663 Enrollment ID: I20220523001816 |
| Provider Name | Jennifer Marie Brunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962129767 PECOS PAC ID: 0244609212 Enrollment ID: I20221214000352 |
| Provider Name | Sanjay P Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851342778 PECOS PAC ID: 4688716186 Enrollment ID: I20230306001889 |
| Provider Name | Rammohan R Sankaraneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790942795 PECOS PAC ID: 9830314038 Enrollment ID: I20230822003958 |
| Provider Name | Katherine Lynne Ferguson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205321866 PECOS PAC ID: 4183088297 Enrollment ID: I20230907003198 |
| Provider Name | Marnna Lynne Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538936414 PECOS PAC ID: 5496106221 Enrollment ID: I20240119001265 |
| Provider Name | Natalie Marie Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184499261 PECOS PAC ID: 3870933070 Enrollment ID: I20240506001031 |
| Provider Name | Stephanie Marie Ahrens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730506288 PECOS PAC ID: 1456652270 Enrollment ID: I20240523001269 |
Joshua's Journey,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Highway 36 W, Suite #630, Roseville, MN 55113 Phone: 612-819-8903 | |
Creative Thinkers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 Rice St Ste 76, Roseville, MN 55113 Phone: 617-206-0332 | |
Soaringhigh Aba Mn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 845-300-2769 | |
Axis Alternatives Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 Rice St Ste 112, Roseville, MN 55113 Phone: 651-357-1100 Fax: 651-357-1100 | |
Community Medical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 N Cleveland Ave, Roseville, MN 55113 Phone: 507-850-1100 Fax: 651-493-4247 | |
Nice Healthcare Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2786 Fairview Ave N, Roseville, MN 55113 Phone: 651-334-0720 | |
Perez Neuropsychology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2355 Highway 36 W Ste 400, Roseville, MN 55113 Phone: 856-332-4869 Fax: 855-708-5583 |