Mary Beth Scanlon, PHD, LP | |
1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | |
(651) 454-3970 | |
(651) 241-0059 |
Full Name | Mary Beth Scanlon |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 34 Years |
Location | 1110 Yankee Doodle Rd, Eagan, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366405367 | NPI | - | NPPES |
373053100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | LP1288 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Mary Beth Scanlon, PHD, LP Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813 | Mary Beth Scanlon, PHD, LP 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 Ph: (651) 454-3970 |
Dr. Kurt Robert Illig, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652 | |
Roger Olsen, LP, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 4660 Slater Rd, Suite 210, Eagan, MN 55122 Phone: 651-882-6299 Fax: 651-683-0057 | |
Patrick Stephen Carney, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-252-1050 | |
Michael Lee Bortel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Dr. Leslie Kyle Adair, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Eagan, MN 55123 Phone: 612-978-1852 Fax: 516-152-3286 | |
Zachary Bella, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652 | |
Dr. Karen Nicole Chinnock, PH.D, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Gentian Rd, Eagan, MN 55121 Phone: 651-348-8851 |