Robert E Terry, CRNA | |
1420 London Rd, Suite 100, Duluth, MN 55805-2433 | |
(218) 728-8508 | |
Not Available |
Full Name | Robert E Terry |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1420 London Rd, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831138577 | NPI | - | NPPES |
849343000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R107882-4 (Minnesota) | Primary |
Entity Name | North Shore Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922051291 PECOS PAC ID: 9032016936 Enrollment ID: O20031218000114 |
Mailing Address | Practice Location Address |
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Robert E Terry, CRNA 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 Ph: (763) 559-3779 | Robert E Terry, CRNA 1420 London Rd, Suite 100, Duluth, MN 55805-2433 Ph: (218) 728-8508 |
Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150 | |
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 | |
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 | |
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 |