Wisdom Psychiatric Care And Medication Management Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Mounds View, Minnesota. The current practice location for Wisdom Psychiatric Care And Medication Management Llc is 2704 Mounds View Blvd, Ste 12, Mounds View, Minnesota. For appointments, you can reach them via phone at (320) 232-0647. The mailing address for Wisdom Psychiatric Care And Medication Management Llc is 8628 Hastings St Ne, Blaine, Minnesota and phone number is (320) 232-0647.
Wisdom Psychiatric Care And Medication Management Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255925962. 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 (320) 232-0647.
Contact Information
Wisdom Psychiatric Care And Medication Management Llc
Wisdom Psychiatric Care And Medication Management Llc
Speciality
Clinic/Center
Location
2704 Mounds View Blvd, Mounds View, Minnesota
Authorized Official Name and Position
Melodie Anne Kabanuk Dohm (OWNER/PROVIDER)
Authorized Official Contact
3202320647
Accepts Medicare Insurance
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Wisdom Psychiatric Care And Medication Management Llc 8628 Hastings St Ne Blaine MN 55449-4252 Ph: (320) 232-0647
Wisdom Psychiatric Care And Medication Management Llc 2704 Mounds View Blvd Ste 12 Mounds View MN 55112 Ph: (320) 232-0647
NPI Details:
NPI Number
1255925962
Provider Enumeration Date
02/23/2021
Last Update Date
02/17/2022
Certification Date
02/17/2022
Medicare PECOS Information:
Medicare PECOS PAC ID
5890194310
Medicare Enrollment ID
O20210602002788
Medical Identifiers
Medical identifiers for Wisdom Psychiatric Care And Medication Management Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1255925962
NPI
-
NPPES
359498100
Medicaid
MN
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Primary
363LP0808X
Nurse Practitioner - Psychiatric/mental Health
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wisdom Psychiatric Care And Medication Management Llc acts as a billing entity for following providers: