Penelope Juvrud Smith, MD | |
14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | |
(952) 853-8800 | |
Not Available |
Full Name | Penelope Juvrud Smith |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 14701 Victor Hugo Blvd N, Hugo, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124003751 | NPI | - | NPPES |
080149404 | Other | MN | MEDICARE RAILROAD |
024217900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41726 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Unity Family Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
Entity Name | Unity Family Healthcare |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
Mailing Address | Practice Location Address |
---|---|
Penelope Juvrud Smith, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Penelope Juvrud Smith, MD 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 Ph: (952) 853-8800 |
John T Northwood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14663 Mercantile Drive, Hugo, MN 55038 Phone: 651-466-1900 | |
Joseph T Moriarity, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14688 Everton Ave N, Hugo, MN 55038 Phone: 651-326-7701 Fax: 651-326-1190 | |
Dr. Arthur P Wineman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14701 Victor Hugo Blvd N, Hugo, MN 55038 Phone: 952-853-8800 | |
Kevin L Kampfe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14712 Victor Hugo Blvd N, Hugo, MN 55038 Phone: 651-466-1900 | |
Dr. Maggi Leigh Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14688 Everton Ave N, Hugo, MN 55038 Phone: 651-326-7701 Fax: 651-326-1190 | |
Timothy M Scanlan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4767 Dahlia Way N, Hugo, MN 55038 Phone: 651-493-4856 |