Annely Richardson, MD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3286 | |
Not Available |
Full Name | Annely Richardson |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 16 Years |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699930552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 61890 (Minnesota) | Secondary |
207K00000X | Allergy & Immunology | 61890 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Hutchinson Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695 |
Mailing Address | Practice Location Address |
---|---|
Annely Richardson, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Annely Richardson, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3286 |
Dr. Jack Leon-max Mutnick, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4201 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-933-8900 Fax: 952-945-9536 | |
Dr. Alexandra Rose Graden, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
David Graft, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3094 | |
Pamela J Harris, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3090 Fax: 952-993-3916 | |
Brenda Guyer, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3094 |