| Charles A Shepard, MD | |
|
859 Mankato Ave, Winona, MN 55987 | |
| (507) 454-3680 | |
| (507) 457-7672 |
| Full Name | Charles A Shepard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 859 Mankato Ave, Winona, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477563179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21197 (Minnesota) | Primary |
| Entity Name | Winona Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Shepard, MD 859 Mankato Ave, Winona Clinic Ltd, Winona, MN 55987 Ph: (507) 454-3680 | Charles A Shepard, MD 859 Mankato Ave, Winona, MN 55987 Ph: (507) 454-3680 |
Andrew E Edin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 | |
Richard C Ferris, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 | |
John G Mulrooney, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 | |
Dennis G Nolan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3680 | |
Dr. Horace J Andersen, MN 18091 Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1758 Edgewood Rd, Winona, MN 55987 Phone: 507-454-5895 | |
Jacob Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 |