Dr Kristine Lynn Brady, PHD | |
110 E Main St, Vermillion, SD 57069-2201 | |
(605) 624-9307 | |
(605) 624-9308 |
Full Name | Dr Kristine Lynn Brady |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 110 E Main St, Vermillion, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295716389 | NPI | - | NPPES |
28205 | Other | SD | SIOUX VALLEY HEALTH PLAN |
4995005 | Other | SD | BLUE CROSS/BLUE SHIELD |
6552222 | Medicaid | SD | |
455 | Other | SD | DAKOTACARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 455 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristine Lynn Brady, PHD 110 E Main St, P.o. Box 283, Vermillion, SD 57069-2201 Ph: (605) 624-9307 | Dr Kristine Lynn Brady, PHD 110 E Main St, Vermillion, SD 57069-2201 Ph: (605) 624-9307 |
Dr. Mark C Daniels, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 409 S Pine St, Vermillion, SD 57069 Phone: 605-624-4766 | |
Mrs. Tammy Dee Clodfelter, ED.S, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1559 Crestview Dr, Vermillion, SD 57069 Phone: 605-659-0908 | |
Brianna Byllesby, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-658-3723 | |
Troy Garrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 422 Princeton St, Vermillion, SD 57069 Phone: 605-677-7025 | |
Dr. Sandra Jean Caraway, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-658-3701 | |
Rachel Post, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 402-380-4014 |