Pam Carlson, CRNA | |
640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-3048 |
Full Name | Pam Carlson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 640 Jackson St, 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 |
---|---|---|---|
1669431557 | NPI | - | NPPES |
093498400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R1371275 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Metropolitan Anesthesia Network Llp | 5698689123 | 632 |
Mngi Digestive Health Pa | 8123016557 | 251 |
Twin Cities Anesthesia Associates Pc | 9133491194 | 58 |
Entity Name | Metropolitan Anesthesia Network Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | Nurse Anesthesia Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023010675 PECOS PAC ID: 8628973435 Enrollment ID: O20031204000880 |
Entity Name | Mngi Digestive Health Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Entity Name | Certified Anesthesia Care Co |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
Entity Name | Twin Cities Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982125456 PECOS PAC ID: 9133491194 Enrollment ID: O20170825001436 |
Mailing Address | Practice Location Address |
---|---|
Pam Carlson, CRNA 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Pam Carlson, CRNA 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Lee Rivard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Robert A Lamppa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Virginia M Glendenning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Robert D West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Morli J Gamm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 | |
Joyce Jacobson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mail Stop 11503p, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-3048 | |
Matthew J Kuckler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, St Paul, MN 55102 Phone: 651-735-0501 Fax: 651-735-1870 |