Pamela J Wymore, MD | |
166 4th Street E, St. Paul, MN 55101 | |
(651) 292-2000 | |
(651) 292-2136 |
Full Name | Pamela J Wymore |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 166 4th Street E, St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760429138 | NPI | - | NPPES |
P00201776 | Other | MN | RAILROAD MEDICARE MN |
1030863 | Other | MN | PREFERRED ONE |
1603279 | Other | MN | MEDICA |
089807400 | Medicaid | MN | |
502T0WY | Other | MN | BLUE CROSS |
2182694 | Other | MN | AMERICA'S PPO |
502T1WY | Other | MN | BLUE CROSS |
34234600 | Medicaid | WI | |
HP43094 | Other | MN | HEALTHPARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 37571 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20111020000173 |
Mailing Address | Practice Location Address |
---|---|
Pamela J Wymore, MD 166 4th Street E, St. Paul, MN 55101 Ph: (651) 292-2000 | Pamela J Wymore, MD 166 4th Street E, St. Paul, MN 55101 Ph: (651) 292-2000 |
Dr. Keri L Azuar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St., St. Paul, MN 55102 Phone: 651-292-2000 | |
Craig Paul Rodriguez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St., St. Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136 |