Stacey Miron, | |
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
(651) 982-7000 | |
Not Available |
Full Name | Stacey Miron |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 5200 Fairview Blvd, Wyoming, 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 |
---|---|---|---|
1205365707 | NPI | - | NPPES |
10660 | Other | MN | MINNESOTA BOARD OF PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10660 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Express Care | 3375645179 | 1537 |
Provider Name | Fairview Express Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Stacey Miron, 15250 Homestead Ave N, Hugo, MN 55038-9408 Ph: (612) 940-9064 | Stacey Miron, 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000 |
Carol Lee Mueller-leavitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7825 | |
Ryan Olmscheid, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-674-6772 | |
Elena Ann Caturia Macdonald, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Kimberly Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Erica Gloppen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Connie Wilkman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |