Dr Lisa Christine Illig, MD | |
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
(952) 993-0121 | |
(952) 993-1456 |
Full Name | Dr Lisa Christine Illig |
---|---|
Gender | Female |
Speciality | Hospice/palliative Care |
Experience | 27 Years |
Location | 6500 Excelsior 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 |
---|---|---|---|
1235177932 | NPI | - | NPPES |
209808 | Other | VA | SOUTHERN HEALTH |
P00074226 | Other | VA | MEDICARE PIN |
005884641 | Medicaid | VA | |
2959204001 | Other | VA | CIGNA |
64758 | Other | VA | COMMUNITY HEALTH |
64758 | Medicaid | VA | |
00554641 | Medicaid | VA | |
278633 | Other | VA | ANTHEM SVCS/HEALTHKEEPERS |
278633 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 52246 (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 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Christine Illig, MD 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-0121 | Dr Lisa Christine Illig, MD 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-0121 |
Cara Houle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Janet Grayson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6600 | |
Keith Harmon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426 Phone: 952-993-3242 | |
Jeffrey J Shultz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Amanda J Calvin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 | |
Sarah Evert, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Stevie Maxwell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 |