Bryan Carleton, | |
620 Civic Heights Dr Ste 103, Circle Pines, MN 55014-4709 | |
(612) 321-8085 | |
Not Available |
Full Name | Bryan Carleton |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 620 Civic Heights Dr Ste 103, Circle Pines, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902201700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R 190679-2 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
United Hospital District | Blue earth, MN | Hospital |
Winona Health Services | Winona, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Mayo Clinic Health System - Albert Lea And Austin | Albert lea, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Cities Clinic | 7517912991 | 7 |
Entity Name | Southern Cities Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437218740 PECOS PAC ID: 7517912991 Enrollment ID: O20050318000140 |
Mailing Address | Practice Location Address |
---|---|
Bryan Carleton, 620 Civic Heights Dr Ste 103, Circle Pines, MN 55014-4709 Ph: (612) 321-8085 | Bryan Carleton, 620 Civic Heights Dr Ste 103, Circle Pines, MN 55014-4709 Ph: (612) 321-8085 |
Lisa Marie Terhaar, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 62nd St, Circle Pines, MN 55014 Phone: 612-406-7200 |