Providence Psychiatry Services, Ltd. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Deer River, Minnesota. The current practice location for Providence Psychiatry Services, Ltd. is 708 Division St, Deer River, Minnesota. For appointments, you can reach them via phone at (218) 398-1998. The mailing address for Providence Psychiatry Services, Ltd. is 12860 Mud Lake Rd Ne, Box 631, Deer River, Minnesota and phone number is (218) 398-1998.
Providence Psychiatry Services, Ltd. is licensed to practice in Minnesota (license number CNP2221). The clinic also participates in the medicare program and its NPI number is 1871942953. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (218) 398-1998.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Providence Psychiatry Services, Ltd. 12860 Mud Lake Rd Ne Box 631 Deer River MN 56636-2174 Ph: (218) 398-1998
Providence Psychiatry Services, Ltd. 708 Division St Deer River MN 56636-8706 Ph: (218) 398-1998
NPI Details:
NPI Number
1871942953
Provider Enumeration Date
06/08/2016
Last Update Date
06/27/2016
Medicare PECOS Information:
Medicare PECOS PAC ID
4284919200
Medicare Enrollment ID
O20170314000348
Medical Identifiers
Medical identifiers for Providence Psychiatry Services, Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1871942953
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
CNP2221 (Minnesota)
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Providence Psychiatry Services, Ltd. acts as a billing entity for following providers: