Jade Michael Oberg, | |
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
(952) 993-5222 | |
(952) 993-6499 |
Full Name | Jade Michael Oberg |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 6500 Excelsior Blvd, St Louis Park, 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 |
---|---|---|---|
1154671279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0411 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Methodist Hospital | 7315840063 | 95 |
Mngi Digestive Health Pa | 8123016557 | 251 |
Entity Name | Park Nicollet Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083622047 PECOS PAC ID: 7315840063 Enrollment ID: O20040129000853 |
Entity Name | Mngi Digestive Health Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
Mailing Address | Practice Location Address |
---|---|
Jade Michael Oberg, 8170 33rd Ave S # Ms 2110q, Bloomington, MN 55425-4516 Ph: () - | Jade Michael Oberg, 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5222 |
Lindsey Marie Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Ms. Susan J Bermel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426 Phone: 952-993-5222 | |
Adrienne Backus, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Frank A Jirik, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Carie Voges, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Joseph Stephen Henefield, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5222 Fax: 952-993-6499 | |
Janet Moore, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5222 |