| Dr Lisa Yvonne Batchelor, MD | |
|
12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 | |
| (952) 401-8300 | |
| Not Available |
| Full Name | Dr Lisa Yvonne Batchelor |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 12000 Elm Creek Blvd N, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851362214 | NPI | - | NPPES |
| 22G36RO | Other | MN | BLUE CROSS |
| CP9041016908 | Other | MN | PREFERRED ONE |
| 1212926 | Other | MN | MEDICA |
| 122923 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 41060 (Minnesota) | Primary |
| Entity Name | South Lake Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Yvonne Batchelor, MD 3925 Ottawa Ave S, Minneapolis, MN 55416-3017 Ph: (952) 926-7900 | Dr Lisa Yvonne Batchelor, MD 12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 Ph: (952) 401-8300 |
Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 | |
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338 | |
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229 | |
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903 | |
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475 | |
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000 |