Simona Awiszus, DDS | |
153 Cesar Chavez St, Saint Paul, MN 55107-2226 | |
(651) 222-1816 | |
(651) 602-7517 |
Full Name | Simona Awiszus |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 153 Cesar Chavez St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912968199 | NPI | - | NPPES |
610021000 | Other | MN | MEDICAL ASST PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11716 (Minnesota) | Primary |
Entity Name | United Family Practice Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851300149 PECOS PAC ID: 0042109258 Enrollment ID: O20040504000368 |
Mailing Address | Practice Location Address |
---|---|
Simona Awiszus, DDS 153 Cesar Chavez St, Saint Paul, MN 55107-2226 Ph: (651) 222-1816 | Simona Awiszus, DDS 153 Cesar Chavez St, Saint Paul, MN 55107-2226 Ph: (651) 222-1816 |
Dr. Julie C Haman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 White Bear Ave N, Saint Paul, MN 55106 Phone: 651-774-0311 Fax: 651-776-3286 | |
Dr. Charles H. Mendes, Dentist Medicare: Medicare Enrolled Practice Location: 550 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-699-0404 Fax: 651-699-9034 | |
Joseph Paul Trowbridge, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 7th St E, Suite101, Saint Paul, MN 55101 Phone: 651-227-6646 Fax: 651-227-6523 | |
Dr. Minerva C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Wabasha St N Ste 250, Saint Paul, MN 55102 Phone: 651-292-9331 | |
Dr. Jake Samuel Kalkstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373 | |
Munira Yusuf, Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373 | |
Freeman Newton Rosenblum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 400, Saint Paul, MN 55102 Phone: 651-224-4969 Fax: 651-223-8047 |