Joel Tg Kirchner, PHD | |
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2874 |
Full Name | Joel Tg Kirchner |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 705 Pleasant Ave S, Park Rapids, 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 |
---|---|---|---|
1346281987 | NPI | - | NPPES |
30T99KI | Other | MN | MNBS # |
13899 | Other | MN | NDBS # |
18686 | Medicaid | MN | |
30T00KI | Other | MN | MNBS # |
860819900 | Medicaid | MN | |
1346281987 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP 3232 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Health Center | 2062326820 | 159 |
Entity Name | St Marys Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Entity Name | Innovis Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831 |
Mailing Address | Practice Location Address |
---|---|
Joel Tg Kirchner, PHD Po Box 6001, Fargo, ND 58108-6001 Ph: (218) 732-2800 | Joel Tg Kirchner, PHD 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Dwight E Fultz, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1003 Hollinger St, Park Rapids, MN 56470 Phone: 218-366-2636 Fax: 218-366-2087 | |
Dr. Mary Patricia Frenzel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 Main Ave N, Park Rapids, MN 56470 Phone: 218-732-7266 Fax: 218-732-0136 |