| Dr Anna Ellermeier, MD | |
|
5775 Wayzata Blvd Ste 190, Saint Louis Park, MN 55416-2627 | |
| (952) 541-1840 | |
| (952) 543-6524 |
| Full Name | Dr Anna Ellermeier |
|---|---|
| Gender | Female |
| Speciality | Interventional Radiology |
| Experience | 15 Years |
| Location | 5775 Wayzata Blvd Ste 190, Saint Louis Park, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538487434 | NPI | - | NPPES |
| 2046177 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 71438 (Minnesota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD60547938 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Medical Center | Renton, WA | Hospital |
| Multicare Auburn Medical Center | Auburn, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Radiology And Diagnostic Services, A Professional Services Cor | 8224937917 | 38 |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Entity Name | Vantage Radiology & Diagnostic Services, A Professional Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245230598 PECOS PAC ID: 8224937917 Enrollment ID: O20031231000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anna Ellermeier, MD 5775 Wayzata Blvd Ste 400, Saint Louis Park, MN 55416-1271 Ph: (952) 905-5602 | Dr Anna Ellermeier, MD 5775 Wayzata Blvd Ste 190, Saint Louis Park, MN 55416-2627 Ph: (952) 541-1840 |
Dr. Kevin E Snyder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd., Suite 190, Saint Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 | |
Dr. Roman Bloch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd Ste 190, Saint Louis Park, MN 55416 Phone: 952-541-1840 | |
James H Sullivan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd., Suite 190, Saint Louis Park, MN 55416 Phone: 952-541-1840 Fax: 952-513-6880 | |
Dr. Peter Donald Busselberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5775 Wayzata Blvd., Suite 190, Saint Louis Park, MN 55416 Phone: 952-541-1840 |