| |
1026 7th St W Saint Paul MN 55102-3828 | |
(651) 758-9500 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1026 7th St W, Saint Paul, Minnesota |
Authorized Official Name and Position | Lori Ann Zook (CFO) |
Authorized Official Contact | 6517589500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1026 7th St W Saint Paul MN 55102-3828 Ph: (517) 589-5006 | 1026 7th St W Saint Paul MN 55102-3828 Ph: (651) 758-9500 |
NPI Number | 1851300149 |
---|---|
Provider Enumeration Date | 08/05/2006 |
Last Update Date | 07/24/2024 |
Medicare PECOS PAC ID | 0042109258 |
---|---|
Medicare Enrollment ID | O20040504000368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851300149 | NPI | - | NPPES |
NA398 | Other | MN | PREFERRED ONE |
282M2UN | Other | MN | BLUE CROSS BLUE SHIELD |
98256 | Other | MN | HEALTH PARTNERS |
620943200 | Medicaid | MN | |
DB2459 | Other | MN | RAILROAD MEDICARE |
164690 | Other | MN | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sarah J Jerome |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528049459 PECOS PAC ID: 1254233760 Enrollment ID: I20040124000179 |
Provider Name | Maureen E Gluek |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285690115 PECOS PAC ID: 9234127523 Enrollment ID: I20040505000247 |
Provider Name | Patricia J Longard |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1912969247 PECOS PAC ID: 4183632037 Enrollment ID: I20060404000208 |
Provider Name | David C Thorson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972510634 PECOS PAC ID: 7517870132 Enrollment ID: I20071217000490 |
Provider Name | Sonja M Batalden |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1255469276 PECOS PAC ID: 4587604426 Enrollment ID: I20090323000349 |
Provider Name | Scott W Tongen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265494512 PECOS PAC ID: 8820284110 Enrollment ID: I20101129000815 |
Provider Name | Lauren N Lehmkuhl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134683907 PECOS PAC ID: 2466792932 Enrollment ID: I20190319002897 |
Provider Name | John Zechary Kiiza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821740093 PECOS PAC ID: 6406237593 Enrollment ID: I20220720003421 |
Provider Name | Concepter Nyasuguta Gekonge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154085777 PECOS PAC ID: 9032592118 Enrollment ID: I20220823001601 |
Provider Name | Mckenzie Wallace |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1194429597 PECOS PAC ID: 0042664419 Enrollment ID: I20231004000641 |
Provider Name | Allyson Lynn Endersbe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972284602 PECOS PAC ID: 5991155921 Enrollment ID: I20240103000774 |
Provider Name | Simona Awiszus |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1912968199 PECOS PAC ID: 6709239718 Enrollment ID: I20240125004053 |
Provider Name | Renee Lynn Clark |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1003211251 PECOS PAC ID: 0042535585 Enrollment ID: I20240126001261 |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |