Kim A Maletta Shibley, MD | |
560 S Maple St Ste 130, Waconia, MN 55387-1753 | |
(952) 442-2191 | |
Not Available |
Full Name | Kim A Maletta Shibley |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 560 S Maple St Ste 130, Waconia, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184685042 | NPI | - | NPPES |
309325500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 37029 (Minnesota) | Primary |
Entity Name | Ridgeview Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
Mailing Address | Practice Location Address |
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Kim A Maletta Shibley, MD 560 S Maple St Ste 130, Waconia, MN 55387-1753 Ph: () - | Kim A Maletta Shibley, MD 560 S Maple St Ste 130, Waconia, MN 55387-1753 Ph: (952) 442-2191 |
Amy J Meath, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1598 | |
Andraya J Huldeen-tibbetts, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Dr. Erin Luann Chinnock, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 | |
Nancy K Cooley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Dennis R Mohling, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Sarah A Freitas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 |