Kevin Palmer Bollin, MSED LP | |
520 Nw 5th St, Brainerd, MN 56401-2902 | |
(218) 829-3235 | |
(218) 829-1368 |
Full Name | Kevin Palmer Bollin |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 520 Nw 5th St, Brainerd, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609099852 | NPI | - | NPPES |
672053600 | Medicaid | MN | |
121238 | Other | MN | UCARE |
386G3BO | Other | MN | BCBSMN |
62-50723 | Other | MN | MEDICA UBH |
990991045425 | Other | MN | BHP PREFERRED 1 |
HP55897 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP0335 (Minnesota) | Primary |
Entity Name | Northern Pines Mental Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013904051 PECOS PAC ID: 8628979697 Enrollment ID: O20040114000463 |
Mailing Address | Practice Location Address |
---|---|
Kevin Palmer Bollin, MSED LP 520 Nw 5th St, Brainerd, MN 56401-2902 Ph: (218) 829-3235 | Kevin Palmer Bollin, MSED LP 520 Nw 5th St, Brainerd, MN 56401-2902 Ph: (218) 829-3235 |
Ms. Denise Bowen Iverson, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368 | |
Frank F Weber, MS, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 617 Oak St, Brainerd, MN 56401 Phone: 218-829-7140 | |
Dr. Kevin James Edwards, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368 | |
Ruth Ann Schaefer, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 1st Street N, Brainerd, MN 56401 Phone: 218-828-6274 Fax: 218-828-4209 | |
Dr. Gary Edwin Gunderson, ED. D, MS LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw 5th St, Brainerd, MN 56401 Phone: 218-454-6369 | |
Carol J Schwarzkopf, PHD LP Psychologist Medicare: Medicare Enrolled Practice Location: 217 S 7th St Ste 215, Brainerd, MN 56401 Phone: 218-828-4602 | |
Mr. Gerald Edward Jensen Jr., MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2155 Antler Dr Sw, Brainerd, MN 56401 Phone: 218-822-3736 |