Cpgr - Medicare Mental Health Clinic in Minneapolis, MN

Cpgr is a medicare enrolled mental health clinic (Psychologist) in Minneapolis, Minnesota. The current practice location for Cpgr is 4317 Upton Ave S Ste A, Minneapolis, Minnesota. For appointments, you can reach them via phone at (952) 222-8162. The mailing address for Cpgr is 4317 Upton Ave S Ste A, Minneapolis, Minnesota and phone number is (952) 222-8162.

Cpgr is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003576653. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (952) 222-8162.

Contact Information

Cpgr
4317 Upton Ave S Ste A
Minneapolis
MN 55410-1540
(952) 222-8162
Not Available

Mental Health Clinic Profile

Full NameCpgr
SpecialityPsychologist
Location4317 Upton Ave S Ste A, Minneapolis, Minnesota
Authorized Official Name and PositionDennis Hannon (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact9522228162
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cpgr
4317 Upton Ave S Ste A
Minneapolis
MN 55410-1540

Ph: (952) 222-8162
Cpgr
4317 Upton Ave S Ste A
Minneapolis
MN 55410-1540

Ph: (952) 222-8162

NPI Details:

NPI Number1003576653
Provider Enumeration Date12/22/2021
Last Update Date04/11/2024
Certification Date04/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3072964782
Medicare Enrollment IDO20240108000354

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Medical Identifiers

Medical identifiers for Cpgr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003576653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cpgr acts as a billing entity for following providers:
Provider NameDennis F Hannon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1447762869
PECOS PAC ID: 9032478441
Enrollment ID: I20180110002382

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