| Dr Shelly Lea Larson-peters, MD | |
|
11091 Ulysses St, Suite 100, Blaine, MN 55434-4238 | |
| (612) 879-1000 | |
| (612) 879-9116 |
| Full Name | Dr Shelly Lea Larson-peters |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 22 Years |
| Location | 11091 Ulysses St, Blaine, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336333509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 50897 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Noran Neurological Clinic, P.a. | 3971497389 | 46 |
| Minneapolis Clinic Of Neurology Ltd | 5496668659 | 68 |
| Entity Name | Noran Neurological Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710098306 PECOS PAC ID: 3971497389 Enrollment ID: O20040209000324 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelly Lea Larson-peters, MD 3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5281 Ph: (612) 879-1000 | Dr Shelly Lea Larson-peters, MD 11091 Ulysses St, Suite 100, Blaine, MN 55434-4238 Ph: (612) 879-1000 |
Tacjana Krystyna Eich Friday, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116 | |
Ana P Groeschel, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11091 Ulysses Street Ne, Suite 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-0722 | |
Plamen P Todorow, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116 |