Dr Kathryn Anne Wyman-chick, PSYD, LP is a medicare enrolled "Clinical Neuropsychologist" provider in Saint Paul, Minnesota. Her current practice location is
295 Phalen Blvd, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 495-6200.
Dr Kathryn Anne Wyman-chick is licensed to practice in Minnesota (license number LP6151) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710118054.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Anne Wyman-chick |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 295 Phalen Blvd, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kathryn Anne Wyman-chick attended and graduated from in
NPI Data:
- NPI Number: 1710118054
- Provider Enumeration Date: 08/04/2009
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kathryn Anne Wyman-chick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710118054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP6151 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810005336 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP6151 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Anne Wyman-chick is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kathryn Anne Wyman-chick, PSYD, LP
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516
Ph: (651) 254-7900 | Dr Kathryn Anne Wyman-chick, PSYD, LP
295 Phalen Blvd,
Saint Paul, MN 55130-2400
Ph: (651) 495-6200 |
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