| Andrea C Hillerud, MD | |
|
4730 Chicago Ave, Minneapolis, MN 55407-3570 | |
| (952) 883-6805 | |
| Not Available |
| Full Name | Andrea C Hillerud |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4730 Chicago Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114012481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 56914 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | 40024 (Wisconsin) | Secondary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea C Hillerud, MD 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: (952) 883-6805 | Andrea C Hillerud, MD 4730 Chicago Ave, Minneapolis, MN 55407-3570 Ph: (952) 883-6805 |
David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406 | |
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000 | |
Rachel Ann Feliciano, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Blaisdell Ave, Minneapolis, MN 55404 Phone: 952-993-8000 | |
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612 | |
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805 | |
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770 |