Jeremy Jay Waldo, CNP | |
111 County Road 11 Nw, Pine Island, MN 55963-9756 | |
(507) 356-4929 | |
Not Available |
Full Name | Jeremy Jay Waldo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 111 County Road 11 Nw, Pine Island, 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 |
---|---|---|---|
1215222708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R1432965 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional Health Services Of Howard County | Cresco, IA | Hospital |
St Elizabeth Medical Center | Wabasha, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regional Health Services Of Howard County | 1153238977 | 17 |
Entity Name | Regional Health Services Of Howard County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730283326 PECOS PAC ID: 1153238977 Enrollment ID: O20040130000356 |
Entity Name | Regional Health Services Of Howard County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1417991316 PECOS PAC ID: 1153238977 Enrollment ID: O20061104000388 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Jay Waldo, CNP 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 | Jeremy Jay Waldo, CNP 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 |
Peter Nicholas Brehmer, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 | |
Penny Louise Flavin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 |