| Dr Paul C Nystrom, MD | |
|
1200 Grant Blvd W, Wabasha, MN 55981-1042 | |
| (651) 565-4531 | |
| Not Available |
| Full Name | Dr Paul C Nystrom |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1200 Grant Blvd W, Wabasha, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164445052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 53822 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Buffalo Hospital | Buffalo, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Professional Association | 9537072657 | 249 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130807000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul C Nystrom, MD 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 Ph: (952) 767-4574 | Dr Paul C Nystrom, MD 1200 Grant Blvd W, Wabasha, MN 55981-1042 Ph: (651) 565-4531 |
Mark Sandefur, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 608-782-7300 | |
Dr. Nicole Marie Wallis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 |