Adam J Mackenzie, PHD | |
1900 8th Ave Se, Minot, ND 58701-4935 | |
(701) 857-5998 | |
(701) 857-5022 |
Full Name | Adam J Mackenzie |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1900 8th Ave Se, Minot, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700660958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 642P (North Dakota) | Primary |
103TC0700X | Psychologist - Clinical | 642 (North Dakota) | Secondary |
Entity Name | Trinity Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Mailing Address | Practice Location Address |
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Adam J Mackenzie, PHD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Adam J Mackenzie, PHD 1900 8th Ave Se, Minot, ND 58701-4935 Ph: (701) 857-5998 |
Brett J Buican, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900-8th Ave. S.e., Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022 | |
Dr. Timothy Trell Eaton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 Fax: 701-839-0713 | |
Dr. Stephan Podrygula, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 22nd Ave Nw, Northland Professional Building, Minot, ND 58703 Phone: 701-852-9113 Fax: 701-838-0779 | |
Richard Townsend, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 Fax: 701-857-5022 | |
Stacy L Slaughter, PSY. D. Psychologist Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Dr. Lori A. Shaleen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway, Suite 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Dr. Robyn Hardie, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1900 8th Ave Se, Minot, ND 58701 Phone: 701-857-5998 |