Mrs Melina Docto Canlas Koch, NP | |
401 Phalen Blvd - Ms 41102d, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | |
(651) 254-7670 | |
Not Available |
Full Name | Mrs Melina Docto Canlas Koch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 401 Phalen Blvd - Ms 41102d, St. Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376716407 | NPI | - | NPPES |
2007007785 | Other | GERONTOLOGICAL NURSE PRAC | |
2007007786-21 | Other | ADULT NURSE PRACTITIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2007007786-21 (Minnesota) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 2007007785 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Regions Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melina Docto Canlas Koch, NP 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375 | Mrs Melina Docto Canlas Koch, NP 401 Phalen Blvd - Ms 41102d, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 Ph: (651) 254-7670 |
Heather M Jaynes, CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 347 North Smith Avenue, Childrens Specialty Clinic Nicu, St. Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777 | |
Heather Ann Naylor, RN, BSN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 University Ave E, St. Paul, MN 55101 Phone: 800-719-4040 | |
Sarah Miles, CPNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1664 Suburban Avenue, St. Paul, MN 55106 Phone: 612-701-4301 | |
Judith A Wulf, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Boulevard, St. Paul, MN 55130 Phone: 651-254-7900 Fax: 651-254-7904 | |
Abrina K Korman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Ms 41102d Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Mrs. Randi L Salter, RN, CNP-A Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Phalen Blvd, Healthpartners Speciality Center 401, St. Paul, MN 55130 Phone: 651-254-7580 Fax: 651-254-7584 | |
Amanda K Keogh, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 No Smith Ave #100, St. Paul, MN 55102 Phone: 651-241-5000 Fax: 651-241-7678 |