| Ana P Groeschel, MD | |
|
11091 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | |
| (612) 879-1000 | |
| (612) 879-0722 |
| Full Name | Ana P Groeschel |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 11091 Ulysses Street Ne, Blaine, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417951435 | NPI | - | NPPES |
| 54418700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 41380 (Minnesota) | Primary |
| Entity Name | Noran Neurological Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098306 PECOS PAC ID: 3971497389 Enrollment ID: O20040209000324 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Ana P Groeschel, MD 3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5202 Ph: (612) 879-1000 | Ana P Groeschel, MD 11091 Ulysses Street Ne, Suite 100, Blaine, MN 55434 Ph: (612) 879-1000 |
Dr. Shelly Lea Larson-peters, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St, Suite 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116 | |
Tacjana Krystyna Eich Friday, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116 | |
Plamen P Todorow, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116 |