Chad Randal Vickers (NPI# 1780753681, PAC ID# 2567555311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780753681 |
| PAC ID by PECOS | 2567555311 |
| Professional Enrollment ID | I20190220000002 |
| Full Name | Chad Randal Vickers |
| Organization Legal Name | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| Address |
308 12th S Ave Buffalo MN 55313-2321 |
| Phone Number | 7636824400 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486555877 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 308 12th S Ave, Buffalo, MN 55313-2321 | 7636824400 | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| 1321 13th St N, Saint Cloud, MN 56303-2613 | 3202525010 | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| 1802 W 4th St, Wilmington, DE 19805-3420 | 3026555576 | WESTSIDE FAMILY HEALTHCARE, INC. |
| Organization Legal Name | CENTRAL MINNESOTA MENTAL HEALTH CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Ann Hegdahl | Clinical Social Worker | Central Minnesota Mental Health Center | 1321 13th N St, Saint Cloud, MN 56303-2613 |
| Sherri L Jeffery | Psychologist, Clinical | Central Minnesota Mental Health Center | 1321 13th St N, Saint Cloud, MN 56303-2613 |
| Steven V Loos | Psychologist, Clinical | Central Minnesota Mental Health Center | 407 Washington St, Monticello, MN 55362-8815 |
| Stephanie E Barnes | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Kristi R Sandin-rieck | Clinical Social Worker | Central Minnesota Mental Health Center | 253 8th St Nw, Suite A, Elk River, MN 55330-2889 |
| Richard L Giovannetti | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Abby Louise Wenzel | Nurse Practitioner | Central Minnesota Mental Health Center | 1321 13th St N, Saint Cloud, MN 56303-2613 |
| Gina Marie Theisz | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Danielle Sarah Brant | Clinical Social Worker | Central Minnesota Mental Health Center | 407 Washington St, Monticello, MN 55362-8815 |
| Liberty Eberly | Psychiatry | Central Minnesota Mental Health Center | 407 Washington St, Monticello, MN 55362-8815 |
| Street Address |
308 12TH S AVE |
| City | BUFFALO |
| State | MN |
| Zip | 55313-2321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie E Barnes | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Richard L Giovannetti | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Gina Marie Theisz | Clinical Social Worker | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Kelly Lindberg | Clinical Psychologist | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Roger Handrich | Psychiatry | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Mark C Bordewick | Clinical Psychologist | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Amy K Underwood | Psychiatry | Central Minnesota Mental Health Center | 308 12th S Ave, Buffalo, MN 55313-2321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Anne Loeffler | Chiropractic | 1200 Hwy 25 N 109, Buffalo, MN 55313 | |
| Jaime E Plamann | Occupational Therapy | Strive Therapy Services, Inc | 12 1st Ave S, Buffalo, MN 55313-1409 |
| Linda M Baune | Qualified Speech Language Pathologist | Strive Therapy Services, Inc | 12 1st Ave S, Buffalo, MN 55313-1409 |
| Warren J Zook | Chiropractic | 109 2nd St S, Buffalo, MN 55313-1413 | |
| Ryan Jay Olson | Chiropractic | Olson Chiropractic Clinic, Inc | 130 Lake Blvd S, Buffalo, MN 55313-1448 |
| Mark D Olson | Chiropractic | Olson Chiropractic Clinic, Inc | 130 Lake Blvd S, Buffalo, MN 55313-1448 |
| Brian J Dixon | Internal Medicine | Geriatric Services of Minnesota LLC | 310 Lake S Blvd, Buffalo, MN 55313-1456 |
| Thomas D Kuzma | Chiropractic | 110 Division St E, Buffalo, MN 55313-1525 | |
| Rita R Varner-otness | Chiropractic | Kuzma Chiropractic Pa | 110 Division St E, Buffalo, MN 55313-1525 |
| Joseph I Shagalow | Psychologist, Clinical | 2 Division E St, Suite 103, Buffalo, MN 55313-1774 | |
| Find all physicians in zip 55313 | |||
| City | BUFFALO |
| Zip Code | 55313 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BUFFALO + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.