Lora J Bertelsen, PHD is a
Psychologist - Counseling based in Wilton, Minnesota. Lora J Bertelsen is licensed to practice in Minnesota (license number 4416) and her current practice location is
1868 Stone Lake Rd Nw, Wilton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 556-2858.
NPI number for Lora J Bertelsen is 1932375029 and her current mailing address is 1868 Stone Lake Rd Nw, Wilton, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932375029.
Healthcare Provider's Profile
| Full Name | Lora J Bertelsen |
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| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 1868 Stone Lake Rd Nw, Wilton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932375029
- Provider Enumeration Date: 05/08/2008
- Last Update Date: 03/11/2019
Medical Identifiers
Medical identifiers for Lora J Bertelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932375029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 4416 (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. Lora J Bertelsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lora J Bertelsen, PHD
1868 Stone Lake Rd Nw,
Wilton, MN 56601-5679
Ph: (218) 556-2858 | Lora J Bertelsen, PHD
1868 Stone Lake Rd Nw,
Wilton, MN 56601
Ph: (218) 556-2858 |
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