Ellen J Fuechtmann, is a
Student In An Organized Health Care Education/training Program based in St Louis Park, Minnesota. Ellen J Fuechtmann is licensed to practice in * (Not Available) (license number ) and her current practice location is
4401 Park Glen Rd Apt 225, St Louis Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 516-7262.
NPI number for Ellen J Fuechtmann is 1629799481 and her current mailing address is 4401 Park Glen Rd Apt 225, St Louis Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629799481.
Provider's Profile
| Full Name | Ellen J Fuechtmann |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4401 Park Glen Rd Apt 225, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629799481
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 09/08/2022
Medical Identifiers
Medical identifiers for Ellen J Fuechtmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629799481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen J Fuechtmann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ellen J Fuechtmann,
4401 Park Glen Rd Apt 225,
St Louis Park, MN 55416-4767
Ph: (763) 516-7262 | Ellen J Fuechtmann,
4401 Park Glen Rd Apt 225,
St Louis Park, MN 55416-4767
Ph: (763) 516-7262 |
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