| Jessica Simmons Sjoholm, MD | |
|
4194 Lexington Ave N, Shoreview, MN 55126-6106 | |
| (516) 483-5461 | |
| (516) 483-2155 |
| Full Name | Jessica Simmons Sjoholm |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 4194 Lexington Ave N, Shoreview, 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 |
|---|---|---|---|
| 1710419395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 66335 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| 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 | 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 |
|---|---|
| Jessica Simmons Sjoholm, MD 4194 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (516) 483-5461 | Jessica Simmons Sjoholm, MD 4194 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (516) 483-5461 |
Stephanie W Putzier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3530 Lexington Ave N, Shoreview, MN 55126 Phone: 651-714-0200 Fax: 651-714-0201 | |
Kurt A Elting-ballard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
David M Casement, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2155 |