| Medical Care Services, Pa | |
|
900 Long Lake Rd Ste 106 New Brighton MN 55112-6414 | |
| (612) 706-9630 | |
| (612) 706-9617 |
| Full Name | Medical Care Services, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Long Lake Rd, New Brighton, Minnesota |
| Authorized Official Name and Position | Spencer Allan Johnson (VP) |
| Authorized Official Contact | 6127069630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Services, Pa 900 Long Lake Rd Ste 106 New Brighton MN 55112-6414 Ph: (612) 706-9630 | Medical Care Services, Pa 900 Long Lake Rd Ste 106 New Brighton MN 55112-6414 Ph: (612) 706-9630 |
| NPI Number | 1083778708 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 12/14/2021 |
| Medicare PECOS PAC ID | 5890865463 |
|---|---|
| Medicare Enrollment ID | O20091216000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083778708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1490 (Minnesota) | Primary |
| Provider Name | Spencer A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881692549 PECOS PAC ID: 6709926017 Enrollment ID: I20100910001071 |
| Provider Name | Jennifer Dj Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962784462 PECOS PAC ID: 3779737093 Enrollment ID: I20130213000414 |
| Provider Name | Stacy C Symons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770863607 PECOS PAC ID: 2062796824 Enrollment ID: I20170223000894 |
| Provider Name | Tamara Nascene |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811419120 PECOS PAC ID: 7315210762 Enrollment ID: I20170906002096 |
| Provider Name | Jennifer C Scofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285234146 PECOS PAC ID: 1557775681 Enrollment ID: I20210201000274 |
| Provider Name | Daryl Elizabeth Holloway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427708866 PECOS PAC ID: 0042606667 Enrollment ID: I20220407002421 |
| Provider Name | Tracy Lynn Garber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558016246 PECOS PAC ID: 1153708623 Enrollment ID: I20220523001662 |
| Provider Name | Leigh-ann Theophilos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780354464 PECOS PAC ID: 2264801893 Enrollment ID: I20221202002895 |
| Provider Name | Kristina Nmn Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891421269 PECOS PAC ID: 9133563331 Enrollment ID: I20240215002332 |
| Provider Name | Kris Chaffee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679647531 PECOS PAC ID: 9133565419 Enrollment ID: I20240308001422 |
| Provider Name | Jessica Eleanor Rick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861004160 PECOS PAC ID: 7113346313 Enrollment ID: I20240422001492 |
| Provider Name | Jari Lynn Welle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174694947 PECOS PAC ID: 7810432200 Enrollment ID: I20240710000582 |
| Provider Name | Molly Marie Mayer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376101600 PECOS PAC ID: 3678011897 Enrollment ID: I20240819001781 |
| Provider Name | Joette Jean Zola |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518095637 PECOS PAC ID: 4486195872 Enrollment ID: I20240925003518 |
| Provider Name | Kim Nicole Grabe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467765297 PECOS PAC ID: 1052843471 Enrollment ID: I20241010000764 |
| Provider Name | Cassidy Famularo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023615242 PECOS PAC ID: 9931631942 Enrollment ID: I20241016000057 |
| Provider Name | Kayla Marie Pease |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427769769 PECOS PAC ID: 7911433743 Enrollment ID: I20241204000402 |
Mina Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1690 Silver Lake Road Nw, New Brighton, MN 55112 Phone: 612-274-4380 | |
Always Caring Home Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 Poppyseed Dr, New Brighton, MN 55112 Phone: 651-784-3736 | |
Twin Cities Harmony Service Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Silver Lake Rd Nw Unit 200b, New Brighton, MN 55112 Phone: 612-991-7361 | |
Brg Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Main St, New Brighton, MN 55112 Phone: 952-820-5193 | |
Mary M. Trites, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 29th Ave Nw, New Brighton, MN 55112 Phone: 651-249-7890 Fax: 888-582-8339 | |
Mindful Recovery Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Silver Lake Rd Nw Unit 6, New Brighton, MN 55112 Phone: 612-261-9312 |