Lily Rkl Bastian, CNM | |
201 E Nicollet Blvd, Burnsville, MN 55337-5714 | |
(952) 892-2000 | |
Not Available |
Full Name | Lily Rkl Bastian |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104140029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 1882 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 488 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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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 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Mailing Address | Practice Location Address |
---|---|
Lily Rkl Bastian, CNM 277a Duncan St, San Francisco, CA 94131-2019 Ph: (151) 071-7734 | Lily Rkl Bastian, CNM 201 E Nicollet Blvd, Burnsville, MN 55337-5714 Ph: (952) 892-2000 |
Kate Johnson, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000 | |
Brigitta Hope Aadland Keyler, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4071 |