Mr Charles Iokepa Williams, NP-C | |
1660 Hwy 100 South, Suite 145, St. Louis Park, MN 55416-1562 | |
(952) 456-6160 | |
(952) 456-6184 |
Full Name | Mr Charles Iokepa Williams |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 1660 Hwy 100 South, St. Louis Park, 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 |
---|---|---|---|
1659625879 | NPI | - | NPPES |
500008394 | Other | MN | MEDICAL PTAN |
C09271 | Other | MN | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 166936-9 (Minnesota) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | R166936-9 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marciana Group | 9739594169 | 24 |
Entity Name | Regional Physician Services Of Minnesota Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588998744 PECOS PAC ID: 3678839842 Enrollment ID: O20171106000624 |
Entity Name | Marciana Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134719693 PECOS PAC ID: 9739594169 Enrollment ID: O20210217002750 |
Entity Name | Healthfair Plus Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Iokepa Williams, NP-C 1660 Highway 100 South, Suite 145, St. Louis Park, MN 55416-1562 Ph: (952) 456-6160 | Mr Charles Iokepa Williams, NP-C 1660 Hwy 100 South, Suite 145, St. Louis Park, MN 55416-1562 Ph: (952) 456-6160 |
Renee B Compo, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Gamble Dr Suite 100, Mail Stop 31200a Health Partners West Clinic, St. Louis Park, MN 55416 Phone: 952-541-2500 Fax: 952-595-6455 |