Jacob William Pridie, APRN, CRNA | |
200 1st St Sw, Rochester, MN 55905-0002 | |
(507) 284-2511 | |
Not Available |
Full Name | Jacob William Pridie |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 1st St Sw, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083325419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 2818 (Minnesota) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
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Jacob William Pridie, APRN, CRNA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Jacob William Pridie, APRN, CRNA 200 1st St Sw, Rochester, MN 55905-0002 Ph: (507) 284-2511 |
Emmanuel J Lujero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Amy Jo Neveau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jennifer Charlebois, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joella Horner, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Seth Kenton Mogler, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Mrs. Stephanie Marie Cabler, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |