Dr Gary D Vikesland, PHD | |
10700 Old County Road 15 Ste 170, Plymouth, MN 55441-8709 | |
(763) 525-8590 | |
(763) 525-8592 |
Full Name | Dr Gary D Vikesland |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 18 Years |
Location | 10700 Old County Road 15 Ste 170, Plymouth, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073506846 | NPI | - | NPPES |
069523800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | LP3160 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathways Psychological Services Pa | 9133161672 | 5 |
Entity Name | Pathways Psychological Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366443723 PECOS PAC ID: 9133161672 Enrollment ID: O20050525000597 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary D Vikesland, PHD 10700 Old County Rd 15, Suite 170, Plymouth, MN 55441 Ph: (763) 525-8590 | Dr Gary D Vikesland, PHD 10700 Old County Road 15 Ste 170, Plymouth, MN 55441-8709 Ph: (763) 525-8590 |
Christian L Babo, PSY D, LP Psychologist Medicare: May Accept Medicare Assignments Practice Location: 10700 Old County Road 15 Ste 170, Plymouth, MN 55441 Phone: 763-525-8590 Fax: 763-525-8592 | |
Jacquelyn H Baker, MA, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Suite 400, Plymouth, MN 55441 Phone: 612-577-7400 Fax: 612-577-7440 | |
Dr. Gail Ann Thoen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12525 42 Avenue North, Plymouth, MN 55441 Phone: 763-551-1518 | |
Teresa A Boatman, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11525 40th Ave N, Plymouth, MN 55441 Phone: 763-234-4974 | |
Dr. Margaret Ann Green, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3937 Orchid Ln N, Plymouth, MN 55446 Phone: 763-476-1027 | |
Ms. Melissa Ann Bollinger-kinney, M.S.ED LPC Psychologist Medicare: Medicare Enrolled Practice Location: 3021 Harbor Ln N Ste 206, Plymouth, MN 55447 Phone: 763-559-1640 Fax: 763-559-1617 |