Melanie A Hall, CRNA | |
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
(763) 559-3779 | |
(763) 450-3986 |
Full Name | Melanie A Hall |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558335562 | NPI | - | NPPES |
704042300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R 110576-8 (Minnesota) | Primary |
Entity Name | Metropolitan Anesthesia Network Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | Southdale Anesthesiologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154381804 PECOS PAC ID: 6709842461 Enrollment ID: O20041203000743 |
Entity Name | University Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
Mailing Address | Practice Location Address |
---|---|
Melanie A Hall, CRNA Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Melanie A Hall, CRNA 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Nickolas C Southwick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Jayne Eberhardt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 | |
Anna Spillers, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Peter Lawrence Sedlacek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 Fax: 763-577-7130 | |
Kathryn Marie Huber, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Dillon Joseph Dryja, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-852-0411 | |
Rhoda Njeri Muiru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 |