Paul John Thinesen, MA LP BCBA is a
Psychologist based in Long Lake, Minnesota. Paul John Thinesen is licensed to practice in Minnesota (license number 0762) and his current practice location is
2565 Morningside Rd, Long Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 263-0763.
NPI number for Paul John Thinesen is 1982774352 and his current mailing address is 2565 Morningside Rd, Long Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982774352.
Healthcare Provider's Profile
| Full Name | Paul John Thinesen |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 2565 Morningside Rd, Long Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982774352
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 05/18/2010
Medical Identifiers
Medical identifiers for Paul John Thinesen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982774352 | NPI | - | NPPES |
| 6190806 | Other | MN | MEDICA |
| 84G16TH | Other | MN | BCBS |
| 191308 | Other | MN | VALUEOPTIONS ID |
| 232850000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 0762 (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. Paul John Thinesen 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 |
|---|
Paul John Thinesen, MA LP BCBA
2565 Morningside Rd,
Long Lake, MN 55356-9109
Ph: (651) 263-0763 | Paul John Thinesen, MA LP BCBA
2565 Morningside Rd,
Long Lake, MN 55356-9109
Ph: (651) 263-0763 |
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