| Jason John Wirtz, MD | |
|
1959 Sloan Place, Suite 200, St Paul, MN 55117-2074 | |
| (651) 772-6235 | |
| (651) 772-6261 |
| Full Name | Jason John Wirtz |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 28 Years |
| Location | 1959 Sloan Place, St Paul, 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 |
|---|---|---|---|
| 1255398830 | NPI | - | NPPES |
| 324537300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 44626 (Minnesota) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 44626 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| 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 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason John Wirtz, MD 1959 Sloan Place, Suite 200, St Paul, MN 55117-2074 Ph: (651) 772-6235 | Jason John Wirtz, MD 1959 Sloan Place, Suite 200, St Paul, MN 55117-2074 Ph: (651) 772-6235 |
William Robert Jahnke Ii, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661 | |
Dr. Neil P Phelan, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857 | |
Dr. Josaleen Muzquiz Davis, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006 | |
Randolph W Hurley, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc 11503f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Jeffrry P Jaffe, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Ghaziuddin A Qadri, MBBS Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 | |
Mohamed A Hagi Aden, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 |