Alicia Kunin-batson, PHD | |
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
(612) 365-6777 | |
Not Available |
Full Name | Alicia Kunin-batson |
---|---|
Gender | Female |
Speciality | Clinical Neuropsychologist |
Location | 2450 Riverside Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437239308 | NPI | - | NPPES |
0493408 | Medicaid | MT | |
632T2KU | Other | MN | BCBS |
0716860 | Medicaid | IA | |
2393328 | Other | ARAZ | |
86913-1 | Other | MN | FAIRVIEW CAREGIVER |
177907900 | Medicaid | MN | |
B673 | Other | MN | CHAMPUS |
1046052 | Other | MN | PREFERRED ONE |
136699 | Other | U CARE | |
HP56958 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4594 (Minnesota) | Secondary |
103G00000X | Clinical Neuropsychologist | 4594 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Alicia Kunin-batson, PHD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777 | Alicia Kunin-batson, PHD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777 |