Dr Theodore Surdy, PHD LP | |
1227 Caledonia St, Mankato, MN 56001-4329 | |
(507) 388-8874 | |
(507) 685-4807 |
Full Name | Dr Theodore Surdy |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 33 Years |
Location | 1227 Caledonia St, Mankato, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063463347 | NPI | - | NPPES |
06T04SU | Other | MN | BXBS |
114945 | Other | MN | UCARE MINNESOTA |
114945 | Other | FM | UNITED |
497823400 | Medicaid | MN | |
HP28628 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LP3385 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surdy Psychological Services Llc | 6709162811 | 2 |
Entity Name | Surdy Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225576127 PECOS PAC ID: 6709162811 Enrollment ID: O20170404000214 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Surdy, PHD LP 1227 Caledonia St, Mankato, MN 56001-4329 Ph: (507) 388-8874 | Dr Theodore Surdy, PHD LP 1227 Caledonia St, Mankato, MN 56001-4329 Ph: (507) 388-8874 |
Elizabeth Ann Quinby, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1028 Woodland Ave, Mankato, MN 56001 Phone: 319-493-8773 | |
Ms. Janice Mary Boyum, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 South 2nd St., Mankato, MN 56001 Phone: 507-625-7660 Fax: 507-625-8998 | |
Dr. Kimberly Ann Haala, PH.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Nancy Fenrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001 Phone: 507-625-4060 Fax: 507-625-3915 | |
Rosean Bishop, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
David Earl Hildebrandt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Martin Luther King Dr, Mankato, MN 56001 Phone: 507-385-6574 Fax: 507-385-6511 |