Evan R Eide, MD | |
2601 Centennial Dr Ste 100, North Saint Paul, MN 55109-3087 | |
(651) 777-7414 | |
(651) 748-5839 |
Full Name | Evan R Eide |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 2601 Centennial Dr Ste 100, North Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194212605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 66030 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Healthservices Minnesota Pa Dba Entira Family Clinics | 1355369018 | 58 |
Entity Name | Family Healthservices Minnesota Pa Dba Entira Family Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639359359 PECOS PAC ID: 1355369018 Enrollment ID: O20071215000036 |
Mailing Address | Practice Location Address |
---|---|
Evan R Eide, MD 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 Ph: (651) 772-1572 | Evan R Eide, MD 2601 Centennial Dr Ste 100, North Saint Paul, MN 55109-3087 Ph: (651) 777-7414 |
Jennifer Lynn Budd, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Centennial Dr, Suite 100, North Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Brooke Danielle Gensler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2601 Centennial Dr Ste 100, North Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Craig C Mommsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 Centennial Dr Ste 100, North Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Jeanne Marie Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Centennial Dr Ste 100, North Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Dr. Brandon Robert Porten, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Centennial Dr, Ste 100, North Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 |