Jennifer H Rysso, | |
4695 Shoreline Dr, Spring Park, MN 55384-9715 | |
(952) 442-7890 | |
(952) 442-7894 |
Full Name | Jennifer H Rysso |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 4695 Shoreline Dr, Spring 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 |
---|---|---|---|
1033195813 | NPI | - | NPPES |
318902300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39203 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - West La | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Jennifer H Rysso, 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 | Jennifer H Rysso, 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 |
James D Lehmann, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7895 Fax: 952-442-7894 | |
Thomas G Stocks, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7893 | |
Kevin M White, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7895 Fax: 952-442-7894 | |
Eric A Nagle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7894 |