Jillian Trieff Waller, MD | |
1110 Yankee Doodle Rd, Eagan, MN 55121 | |
(651) 454-3970 | |
Not Available |
Full Name | Jillian Trieff Waller |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1110 Yankee Doodle Rd, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992265474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 68118 (Minnesota) | Primary |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Jillian Trieff Waller, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4400 | Jillian Trieff Waller, MD 1110 Yankee Doodle Rd, Eagan, MN 55121 Ph: (651) 454-3970 |
David Stuart Kyllo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Washington Dr, Ste 102, Eagan, MN 55122 Phone: 651-452-9240 Fax: 651-452-5440 | |
Sheila Rae Rodstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 | |
Dr. Dylan August Bindman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Dr. Kristina Marie Schultz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
John A Beall Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 Fax: 651-905-5087 | |
Paul Joseph Dondlinger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970 | |
Mr. Charles E Pogemiller Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Eagan, MN 55123 Phone: 651-326-1515 Fax: 651-326-1519 |