Foot & Ankle Clinics Pa | |
563 Bielenberg Dr, Suite 150, Woodbury, MN 55125-4425 | |
(218) 365-2570 | |
(218) 365-2570 |
Full Name | Foot & Ankle Clinics Pa |
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Type | Facility |
Speciality | Podiatrist |
Location | 563 Bielenberg Dr, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801836234 | NPI | - | NPPES |
43240800 | Medicaid | WI | |
944325800 | Medicaid | MN | |
43214500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 473 (Minnesota) | Primary |
Provider Name | Jeffrey Craig Pellersels |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1790730380 PECOS PAC ID: 7517860844 Enrollment ID: I20050913000958 |
Provider Name | Dirk S Halverson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1518958925 PECOS PAC ID: 2567488950 Enrollment ID: I20051102000652 |
Provider Name | Guy J Werkhoven |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942288980 PECOS PAC ID: 0840201984 Enrollment ID: I20060605000218 |
Provider Name | Roy R Moeller |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225027378 PECOS PAC ID: 3476566043 Enrollment ID: I20080119000002 |
Provider Name | Carly Lucille Kriedberg |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1275972259 PECOS PAC ID: 7416248943 Enrollment ID: I20170830000513 |
Mailing Address | Practice Location Address |
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Foot & Ankle Clinics Pa 563 Bielenberg Dr, Suite 150, Woodbury, MN 55125-4425 Ph: (218) 365-2570 | Foot & Ankle Clinics Pa 563 Bielenberg Dr, Suite 150, Woodbury, MN 55125-4425 Ph: (218) 365-2570 |
Jeffrey Craig Pellersels, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 563 Bielenberg Dr, Suite 150, Woodbury, MN 55125 Phone: 651-457-4665 Fax: 651-457-3115 |