| Dr Lisa M Shakerin, MD | |
|
5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 | |
| (763) 587-7000 | |
| (763) 587-7015 |
| Full Name | Dr Lisa M Shakerin |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 5700 Bottineau Blvd, Crystal, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982715777 | NPI | - | NPPES |
| 998563800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 34679 (Minnesota) | Primary |
| Entity Name | Premier Obgyn Of Minnesota Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801946223 PECOS PAC ID: 1355396110 Enrollment ID: O20050315000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa M Shakerin, MD 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 Ph: (763) 587-7000 | Dr Lisa M Shakerin, MD 5700 Bottineau Blvd, #210, Crystal, MN 55429-3183 Ph: (763) 587-7000 |
Dr. Caitlin Ruth Kuck, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989 | |
Dr. Jon S Nielsen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd, 210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 | |
Dr. James R Krause, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd, #210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 | |
Dr. Christine Marie Sarkinen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, #210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 | |
Dr. Sarah Manalansan Manneh, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, #210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 | |
Dr. Matthew Michael Palmer, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 | |
Dr. Lori L Wilcox, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd, #210, Crystal, MN 55429 Phone: 763-587-7000 Fax: 763-587-7015 |