Marilynn Kay Bast, PHD LP is a
Registered Nurse based in Minneapolis, Minnesota. Marilynn Kay Bast is licensed to practice in Minnesota (license number R0653855) and her current practice location is
3033 Excelsior Blvd, Suite 10, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 920-6161.
NPI number for Marilynn Kay Bast is 1720295934 and her current mailing address is 4132 Harriet Avenue South, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720295934.
Healthcare Provider's Profile
Full Name | Marilynn Kay Bast |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 3033 Excelsior Blvd, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720295934
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Marilynn Kay Bast such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720295934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP2207 (Minnesota) | Primary |
163W00000X | Registered Nurse | R0653855 (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. Marilynn Kay Bast 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 |
Marilynn Kay Bast, PHD LP 4132 Harriet Avenue South, Minneapolis, MN 55409 Ph: (612) 920-6161 | Marilynn Kay Bast, PHD LP 3033 Excelsior Blvd, Suite 10, Minneapolis, MN 55416 Ph: (612) 920-6161 |
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