Dr Paul C Nystrom, MD | |
1200 Grant Blvd W, Wabasha, MN 55981-1042 | |
(651) 565-4531 | |
Not Available |
Full Name | Dr Paul C Nystrom |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 1200 Grant Blvd W, Wabasha, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164445052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A99771 (California) | Secondary |
207P00000X | Emergency Medicine | 53822 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Medical Center | Wabasha, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 73 |
Grand Itasca Clinic And Hospital | 8123939550 | 115 |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
Entity Name | Douglas County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul C Nystrom, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Paul C Nystrom, MD 1200 Grant Blvd W, Wabasha, MN 55981-1042 Ph: (651) 565-4531 |
Mark Sandefur, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 608-782-7300 | |
Dr. Nicole Marie Wallis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 |