Vickie Lynn Potter, MS, LP is a
Psychologist based in Granite Falls, Minnesota. Vickie Lynn Potter is licensed to practice in Minnesota (license number 2895) and her current practice location is
290 9th Ave, Granite Falls, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 564-5670.
NPI number for Vickie Lynn Potter is 1407946700 and her current mailing address is 97 Pleasant St, Granite Falls, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407946700.
Healthcare Provider's Profile
Full Name | Vickie Lynn Potter |
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Gender | Female |
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Speciality | Psychologist |
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Location | 290 9th Ave, Granite Falls, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407946700
- Provider Enumeration Date: 10/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Vickie Lynn Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407946700 | NPI | - | NPPES |
2897227 | Other | MN | TAX NUMBER |
L.P 2895 | Other | MN | L.P. NUMBER |
114832 | Other | MN | U CARE |
9H516PO | Other | MN | BLUE CROSS BLUE SHIELD |
P51552 | Other | MN | ARAZ CODE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2895 (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. Vickie Lynn Potter 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 |
Vickie Lynn Potter, MS, LP 97 Pleasant St, Granite Falls, MN 56241-9470 Ph: (320) 564-2488 | Vickie Lynn Potter, MS, LP 290 9th Ave, Granite Falls, MN 56241-1439 Ph: (320) 564-5670 |
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