Lillian Elizabeth Medhus, | |
624 Smith Ave S, Saint Paul, MN 55107-2620 | |
(651) 689-3988 | |
(612) 224-9622 |
Full Name | Lillian Elizabeth Medhus |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 624 Smith Ave S, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265933766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Lillian Elizabeth Medhus, 902 Grand Ave Apt 103, Saint Paul, MN 55105-3012 Ph: (510) 461-8096 | Lillian Elizabeth Medhus, 624 Smith Ave S, Saint Paul, MN 55107-2620 Ph: (651) 689-3988 |
Mrs. Renee Lynn Clark, DNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-602-7500 | |
Ms. Jessica Ranallo, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-967-5584 Fax: 651-293-8232 | |
Sara Elizabeth Jennerjohn, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2635 University Ave W Ste 160, Saint Paul, MN 55114 Phone: 651-254-3500 | |
Mary E Skorczeski, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2635 University Ave, Ste 160 Mail Stop 13901b, Saint Paul, MN 55114 Phone: 651-254-3500 Fax: 651-254-3699 | |
Ms. Emily Rumsey, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 895 7th St E, Saint Paul, MN 55106 Phone: 651-602-7500 | |
Tamara Jackman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Ann Magdalen Bruce, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 |