Jessica Jerich Wetterlin, MD | |
435 Phalen Blvd, Ms 51103c, St. Paul, MN 55130 | |
(651) 254-8500 | |
Not Available |
Full Name | Jessica Jerich Wetterlin |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 13 Years |
Location | 435 Phalen Blvd, St. Paul, 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 |
---|---|---|---|
1245529379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 66275 (Minnesota) | Primary |
208600000X | Surgery | 1245529379 (Illinois) | Secondary |
208800000X | Urology | 4301112391 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Regions Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Jessica Jerich Wetterlin, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (651) 254-8500 | Jessica Jerich Wetterlin, MD 435 Phalen Blvd, Ms 51103c, St. Paul, MN 55130 Ph: (651) 254-8500 |
Parker M Eberwein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Phalen Blvd - Ms 51103c, Healthpartners Specialty Center 435, St. Paul, MN 55130 Phone: 651-254-8500 Fax: 651-254-8504 | |
Dr. Stephen J Lukasewycz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Phalen Blvd - Ms 51103c, Healthpartners Specialty Center 435, St. Paul, MN 55130 Phone: 651-254-8500 Fax: 651-254-8504 |