Mrs Grace Jepchirchir Fidalgo, RN is a
Foster Care Agency based in Cottage Grove, Minnesota. Mrs Grace Jepchirchir Fidalgo is licensed to practice in Minnesota (license number 1099897) and her current practice location is
6222 Hedgecroft Ave S, Cottage Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 859-8250.
NPI number for Mrs Grace Jepchirchir Fidalgo is 1730722745 and her current mailing address is 6222 Hedgecroft Ave S, Cottage Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730722745.
Provider's Profile
Full Name | Mrs Grace Jepchirchir Fidalgo |
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Gender | Female |
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Speciality | Foster Care Agency |
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Location | 6222 Hedgecroft Ave S, Cottage Grove, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730722745
- Provider Enumeration Date: 10/22/2019
- Last Update Date: 04/12/2022
Medical Identifiers
Medical identifiers for Mrs Grace Jepchirchir Fidalgo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730722745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 2441890 (Minnesota) | Secondary |
374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
253J00000X | Foster Care Agency | 1099897 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Grace Jepchirchir Fidalgo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Grace Jepchirchir Fidalgo, RN 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 Ph: (612) 859-8250 | Mrs Grace Jepchirchir Fidalgo, RN 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 Ph: (612) 859-8250 |
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