Mrs Gillian Hackedorn Luscri, MD | |
14000 Fairview Dr, Burnsville, MN 55337-5713 | |
(952) 993-8682 | |
Not Available |
Full Name | Mrs Gillian Hackedorn Luscri |
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Gender | Female |
Speciality | Pediatrics |
Location | 14000 Fairview Dr, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245407097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 54068 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gillian Hackedorn Luscri, MD 9887 Jedlicka Ct, Eden Prairie, MN 55347-4227 Ph: (612) 751-2447 | Mrs Gillian Hackedorn Luscri, MD 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-8682 |
Dr. Allison Schneider Freese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 319-721-9499 | |
Dr. Sheila J Jenkins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 | |
Kristine A Foslien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-8770 | |
Dr. Lisa Wilkinson Oie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337 Phone: 952-831-1944 Fax: 952-278-6947 | |
Brielle Joy Swanstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 Fax: 952-993-8516 | |
Dr. Timothy John Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 501 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-898-5900 Fax: 952-898-5914 |