Dr Elizabeth Evenson, PSYD, LP | |
1245 Washington Ave, Detroit Lakes, MN 56501-3923 | |
(218) 846-2000 | |
Not Available |
Full Name | Dr Elizabeth Evenson |
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Gender | Female |
Speciality | Psychologist |
Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386967263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP 5233 (Minnesota) | Secondary |
103T00000X | Psychologist | LP5233 (Minnesota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth Evenson, PSYD, LP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (218) 846-2000 | Dr Elizabeth Evenson, PSYD, LP 1245 Washington Ave, Detroit Lakes, MN 56501-3923 Ph: (218) 846-2000 |
Brian J Gatheridge, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Dr. Tessie Blake, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1104 W River Rd, Detroit Lakes, MN 56501 Phone: 218-844-6853 | |
Donald W Preussler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Dr. Gail Yvonne Pickett, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1219 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2244 | |
Dr. Amy April Missling, PSYD,LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444 | |
Dr. Shirley J Rader, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-5401 Fax: 218-573-2350 |