Jessica Beth Connolly Russow, AUD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3123 | |
Not Available |
Full Name | Jessica Beth Connolly Russow |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952786576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 9519 (* (Not Available)) | Primary |
Provider Name | Group Health Plan Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Provider Name | Fairview Health Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
---|---|
Jessica Beth Connolly Russow, AUD 4225 Nathan Ln N, Plymouth, MN 55441-1633 Ph: (612) 619-3987 | Jessica Beth Connolly Russow, AUD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3123 |
Mr. Jeffery Allen Dodds, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250 | |
Jennifer Marie Lien, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3886 Fax: 952-993-1250 | |
Randi Rankl, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd Ste 550, St Louis Park, MN 55416 Phone: 952-993-1880 | |
Ms. Katrina Joy Bruemmer Balvance, MA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1880 | |
Kiersten Steinke, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6099 Wayzata Blvd, St Louis Park, MN 55416 Phone: 952-232-4835 | |
Mrs. Janene Marie Widen, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-1250 | |
Claire Coote, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6099 Wayzata Blvd, Xchange Medical Building, Ste 200, St Louis Park, MN 55416 Phone: 612-871-1144 Fax: 865-544-5816 |