Lisa Bergman, | |
201 N Victory Dr Ste 211, Mankato, MN 56001-5398 | |
(507) 387-5581 | |
Not Available |
Full Name | Lisa Bergman |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 201 N Victory Dr Ste 211, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134647274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | R1728514 (Minnesota) | Primary |
Entity Name | County Of Ramsey |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942369475 PECOS PAC ID: 8224941992 Enrollment ID: O20031110000026 |
Entity Name | Planned Parenthood Mn, Nd, Sd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629057146 PECOS PAC ID: 6002709631 Enrollment ID: O20040206000003 |
Mailing Address | Practice Location Address |
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Lisa Bergman, 671 Vandalia St, Saint Paul, MN 55114-1312 Ph: (651) 698-2406 | Lisa Bergman, 201 N Victory Dr Ste 211, Mankato, MN 56001-5398 Ph: (507) 387-5581 |
Cassy Kay Burton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Elizabeth Cumberland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Omar G Ferrer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Laura Renee Fisher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Mrs. Season Marie Hoffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
Darla R Theobald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Danielle Wendinger, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 |