Timothy J Hernandez, MD | |
234 Wentworth Ave E, West Saint Paul, MN 55118-3525 | |
(651) 455-2940 | |
(651) 455-3354 |
Full Name | Timothy J Hernandez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | 234 Wentworth Ave E, West Saint Paul, 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 |
---|---|---|---|
1932110079 | NPI | - | NPPES |
189882500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30114 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Healthservices Minnesota Pa Dba Entira Family Clinics | 1355369018 | 58 |
Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Family Healthservices Minnesota Pa Dba Entira Family Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639359359 PECOS PAC ID: 1355369018 Enrollment ID: O20071215000036 |
Mailing Address | Practice Location Address |
---|---|
Timothy J Hernandez, MD 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 Ph: (651) 772-1572 | Timothy J Hernandez, MD 234 Wentworth Ave E, West Saint Paul, MN 55118-3525 Ph: (651) 455-2940 |
Edwin R Burrell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 Wentworth Ave E, West Saint Paul, MN 55118 Phone: 651-455-2940 Fax: 651-455-3354 | |
James R. Benzie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 234 Wentworth Ave E, West Saint Paul, MN 55118 Phone: 651-788-4444 Fax: 651-455-3354 | |
Elizabeth Gilbertson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Emerson Ave E, West Saint Paul, MN 55118 Phone: 651-241-1800 |