| Minnesota Neurologic Evaluations Ltd | |
|
5355 320th St Cushing MN 56443-2128 | |
| (218) 575-2097 | |
| Not Available |
| Full Name | Minnesota Neurologic Evaluations Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5355 320th St, Cushing, Minnesota |
| Authorized Official Name and Position | Jyl R Dinville (PHYSICIAN REIMBURSEMENT SPECIALIST) |
| Authorized Official Contact | 4023975462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Neurologic Evaluations Ltd Po Box 27015 Omaha NE 68127-0015 Ph: (402) 393-9459 | Minnesota Neurologic Evaluations Ltd 5355 320th St Cushing MN 56443-2128 Ph: (218) 575-2097 |
| NPI Number | 1033238308 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033238308 | NPI | - | NPPES |
| 663270000 | Medicaid | MN | |
| 27T35MI | Other | MN | BCBS GROUP # |
| 27T36GA | Other | MN | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 15205 (Minnesota) | Primary |
Redemption Psychotherapy Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41989 Morrison Line Rd, Cushing, MN 56443 Phone: 701-320-8623 |