| Dr Michael A Ellerman, DO | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-4887 | |
| Not Available |
| Full Name | Dr Michael A Ellerman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| 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 |
|---|---|---|---|
| 1235661117 | NPI | - | NPPES |
| 1235661117 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 81478 (Wisconsin) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 79916 (Minnesota) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Ellerman, DO 9200 W Wisconsin Ave Ste 300, Milwaukee, WI 53226-3522 Ph: (414) 805-6000 | Dr Michael A Ellerman, DO 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-4887 |
Wojciech Kraszkiewicz, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Nicholas Charles Boysen, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Joel E Money, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910 | |
Christopher Edward Cantoria Garces, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-241-5511 | |
Nathan M Frink, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899 | |
Dr. Andrew Caraganis, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Dr. Patrick George Manning, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |