Susan E Persons, MS, LP is a
Psychologist based in Moose Lake, Minnesota. Susan E Persons is licensed to practice in Minnesota (license number LP3599) and her current practice location is
1000 Lakeshore Dr, Moose Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 485-5419.
NPI number for Susan E Persons is 1144399759 and her current mailing address is 1609 River Dr S, Wabasha, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144399759.
Healthcare Provider's Profile
| Full Name | Susan E Persons |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1000 Lakeshore Dr, Moose Lake, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144399759
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/23/2011
Medical Identifiers
Medical identifiers for Susan E Persons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144399759 | NPI | - | NPPES |
| 6280251000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP3599 (Minnesota) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | LP3599 (Minnesota) | Secondary |
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. Susan E Persons 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 |
|---|
Susan E Persons, MS, LP
1609 River Dr S,
Wabasha, MN 55981-1768
Ph: (651) 565-0126 | Susan E Persons, MS, LP
1000 Lakeshore Dr,
Moose Lake, MN 55767-9449
Ph: (218) 485-5419 |
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