| Dr Phillip M Ecker, MD | |
|
1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006 | |
| (952) 222-8149 | |
| (262) 240-6257 |
| Full Name | Dr Phillip M Ecker |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 18 Years |
| Location | 1905 Wayzata Blvd Ste 240, Wayzata, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851378020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 47896 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ecker Dermatology Pa | 3375995343 | 2 |
| Tareen Dermatology Pa | 8123288156 | 45 |
| Entity Name | Tareen Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063782621 PECOS PAC ID: 8123288156 Enrollment ID: O20120328000470 |
| Entity Name | Ecker Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598538258 PECOS PAC ID: 3375995343 Enrollment ID: O20240116002638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip M Ecker, MD 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006 Ph: (952) 222-8149 | Dr Phillip M Ecker, MD 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006 Ph: (952) 222-8149 |
Jenna Ruggiero, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Wayzata, MN 55391 Phone: 952-993-8250 |
Mary Ellen Meighan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1120 Wayzata Blvd E, Suite 100, Wayzata, MN 55391 Phone: 952-476-6733 Fax: 952-476-0084 |
Lauren Van Hove, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Wayzata, MN 55391 Phone: 952-993-8250 |
Dr. Judith Frances Shank, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 330 Peavey Ln, Wayzata, MN 55391 Phone: 952-476-0950 Fax: 952-404-0804 |