Tanya L Halvorsen, MD | |
347 Smith Ave N, Saint Paul, MN 55102-2387 | |
(651) 220-6818 | |
(651) 220-6064 |
Full Name | Tanya L Halvorsen |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 347 Smith Ave N, Saint 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 |
---|---|---|---|
1376629972 | NPI | - | NPPES |
978163300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 45340 (Minnesota) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 45340 (Minnesota) | Primary |
Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Tanya L Halvorsen, MD 347 Smith Ave N, Saint Paul, MN 55102-2387 Ph: (651) 220-6818 | Tanya L Halvorsen, MD 347 Smith Ave N, Saint Paul, MN 55102-2387 Ph: (651) 220-6818 |
Emily Marie Schaaf, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-578-5258 | |
Dr. Elizabeth Zorn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N Ste 505, Saint Paul, MN 55102 Phone: 512-206-2606 Fax: 651-220-7777 | |
James Grinols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7021 Fax: 651-641-7151 | |
Dr. Amy Rebecca Borden, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6914 | |
Laurel E Cederberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6295 | |
Dr. Richard Louis Baron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1804 7th St W, Suite 200, Saint Paul, MN 55116 Phone: 651-227-7806 Fax: 651-256-6766 | |
Kent W Wegmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 |