Amy L Fair, MD | |
290 Main St Nw, Suite 100, Elk River, MN 55330-1270 | |
(763) 241-5805 | |
(763) 241-5835 |
Full Name | Amy L Fair |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 290 Main St Nw, Elk River, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245204346 | NPI | - | NPPES |
053470600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 46737 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Amy L Fair, MD 290 Main Street, Suite 100, Elk River, MN 55330 Ph: (763) 241-5805 | Amy L Fair, MD 290 Main St Nw, Suite 100, Elk River, MN 55330-1270 Ph: (763) 241-5805 |
David Lee Wineinger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330 Phone: 763-712-6000 Fax: 763-712-6591 | |
Cheryl Lynnette Burlend, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14181 Business Center Dr Nw, Elk River, MN 55330 Phone: 763-236-0500 | |
William H Rabe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 763-587-4845 | |
Rachel Nebelsick, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 14181 Business Center Dr Nw, Elk River, MN 55330 Phone: 763-236-0500 | |
Jessica Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 763-241-5800 | |
Patricia Riess Kubicka, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 290 Main St Nw, Elk River, MN 55330 Phone: 763-241-5800 |