| Bryan Matthew Jepson, MD | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-4887 | |
| Not Available |
| Full Name | Bryan Matthew Jepson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447606561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 75014 (Minnesota) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 75014 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Children's Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Matthew Jepson, MD Children's Health Care, 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 Ph: (612) 813-6000 | Bryan Matthew Jepson, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-4887 |
Emily Marie Schaaf, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-578-5258 | |
Dr. Elizabeth Zorn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N Ste 505, Saint Paul, MN 55102 Phone: 512-206-2606 Fax: 651-220-7777 | |
James Grinols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7021 Fax: 651-641-7151 | |
Dr. Amy Rebecca Borden, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6914 | |
Laurel E Cederberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6295 | |
Dr. Richard Louis Baron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1804 7th St W, Suite 200, Saint Paul, MN 55116 Phone: 651-227-7806 Fax: 651-256-6766 | |
Kent W Wegmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 |