Dr Courtney Lynn Plemel, MD | |
13688 Rogers Dr Ste 230, Rogers, MN 55374-4918 | |
(952) 977-0300 | |
Not Available |
Full Name | Dr Courtney Lynn Plemel |
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Gender | Female |
Speciality | Pediatrics |
Location | 13688 Rogers Dr Ste 230, Rogers, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316508161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 8563 (Nebraska) | Secondary |
208000000X | Pediatrics | 8563 (Nebraska) | Secondary |
208000000X | Pediatrics | 73844 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Dr Courtney Lynn Plemel, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Courtney Lynn Plemel, MD 13688 Rogers Dr Ste 230, Rogers, MN 55374-4918 Ph: (952) 977-0300 |
Dr. Daniel A Albright, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13688 Rogers Dr Ste 230, Rogers, MN 55374 Phone: 952-977-0300 Fax: 952-977-0311 | |
Dr. Naomi C. Palmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 | |
Dr. Wade M. Larson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 | |
Dr. Andrew W. Larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 | |
Dr. Mary E. Mahony, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 13980 Northdale Blvd, Rogers, MN 55374 Phone: 763-428-1920 Fax: 763-428-3162 |