Pamela Jean Ellis, APRN,CRNA | |
1805 Hennepin Ave N, Glencoe, MN 55336-1416 | |
(320) 864-3121 | |
Not Available |
Full Name | Pamela Jean Ellis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1805 Hennepin Ave N, Glencoe, 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 |
---|---|---|---|
1376840637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 136088-8 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1982 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glencoe Regional Health Services | Glencoe, MN | Hospital |
Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glencoe Regional Health Services | 1759292980 | 37 |
Hennepin Healthcare System Inc | 4789684861 | 804 |
Entity Name | Glencoe Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252 |
Entity Name | Glencoe Regional Health Services |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699 |
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 |
Mailing Address | Practice Location Address |
---|---|
Pamela Jean Ellis, APRN,CRNA 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-7812 | Pamela Jean Ellis, APRN,CRNA 1805 Hennepin Ave N, Glencoe, MN 55336-1416 Ph: (320) 864-3121 |
Joslin Dawn Thiemann, C.R.N.A., NSPMC Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121 | |
Logan Becker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 507-525-3881 | |
Robert A Larter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-7725 | |
Jessica Catherine Schlager, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1805 Hennepin Ave N, Glencoe, MN 55336 Phone: 320-864-3121 |