Ms Jane Galvin Bacon, MA LP LMFT is a
Marriage & Family Therapist based in White Bear Lake, Minnesota. Ms Jane Galvin Bacon is licensed to practice in Minnesota (license number 320) and her current practice location is
1280 North Birch Lake Blvd, White Bear Lake Area Community Counseling Center, White Bear Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 429-8544.
NPI number for Ms Jane Galvin Bacon is 1801968094 and her current mailing address is 1280 North Birch Lake Blvd, White Bear Lake Area Community Counseling Center, White Bear Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801968094.
Healthcare Provider's Profile
| Full Name | Ms Jane Galvin Bacon |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 1280 North Birch Lake Blvd, White Bear Lake, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801968094
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Jane Galvin Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801968094 | NPI | - | NPPES |
| 56963BA | Other | MN | BLUE CROSS BLUE SHIELD |
| 103010 | Other | MN | UCARE MINNESOTA |
| 30119 | Other | MN | BEHAVIORAL HEALTCARE PROV |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | LP2821 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 320 (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. Ms Jane Galvin Bacon 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 |
|---|
Ms Jane Galvin Bacon, MA LP LMFT
1280 North Birch Lake Blvd, White Bear Lake Area Community Counseling Center,
White Bear Lake, MN 55110-6708
Ph: (651) 429-8544 | Ms Jane Galvin Bacon, MA LP LMFT
1280 North Birch Lake Blvd, White Bear Lake Area Community Counseling Center,
White Bear Lake, MN 55110-6708
Ph: (651) 429-8544 |
Reviews and Comments