| Dr Mary Nesvig, MD | |
|
153 Cesar Chavez St, W. St. Paul, MN 55107-2226 | |
| (651) 222-1816 | |
| (651) 222-1305 |
| Full Name | Dr Mary Nesvig |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 153 Cesar Chavez St, W. St. 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 |
|---|---|---|---|
| 1073572038 | NPI | - | NPPES |
| 0125623 | Other | MN | MEDICA |
| NA9021006638 | Other | FM | PREFERRED ONE |
| 375395600 | Medicaid | MN | |
| 105727 | Other | MN | UCARE |
| HP14053 | Other | MN | HEALTHPARTNERS |
| 3F110NE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32549 (Minnesota) | Primary |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Nesvig, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 | Dr Mary Nesvig, MD 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 Ph: (651) 222-1816 |
Lynne Ogawa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
John Hick, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Jessica G Pereira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Jane K Peterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 | |
Kathleen Culhane-pera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 153 Cesar Chavez St, W. St. Paul, MN 55107 Phone: 651-222-1816 Fax: 651-222-1305 |