Thomas Edward Wyatt, MD | |
4050 Coon Rapids Blvd, Coon Rapids, MN 55433 | |
(763) 236-7144 | |
(763) 236-7733 |
Full Name | Thomas Edward Wyatt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 4050 Coon Rapids Blvd, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427025642 | NPI | - | NPPES |
313697300 | Medicaid | MN | |
45311 | Other | MN MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 45311 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hennepin Healthcare System Inc | 4789684861 | 804 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Thomas Edward Wyatt, MD 5435 Feltl Rd, Minnetonka, MN 55343-7983 Ph: (952) 835-9880 | Thomas Edward Wyatt, MD 4050 Coon Rapids Blvd, Coon Rapids, MN 55433 Ph: (763) 236-7144 |
Noel Pillman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Alan Fuller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Joseph P Lynch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Ms. Amanda M Baker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Jodi Greenlaw, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Carl Blashko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Mercy Hospital, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Sharon Sweeney Carmody, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 |