| Kris W Drevlow, DO | |
|
100 State Ave, Faribault, MN 55021-6337 | |
| (507) 334-3921 | |
| (507) 332-5299 |
| Full Name | Kris W Drevlow |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 100 State Ave, Faribault, 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 |
|---|---|---|---|
| 1720049042 | NPI | - | NPPES |
| 322469400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44535 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| District One Hospital | Faribault, MN | Hospital |
| Owatonna Hospital | Owatonna, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Emergency Care Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380 |
| 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 |
|---|---|
| Kris W Drevlow, DO 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Kris W Drevlow, DO 100 State Ave, Faribault, MN 55021-6337 Ph: (507) 334-3921 |
Mysoon Ayuob, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State Ave, Faribault, MN 55021 Phone: 150-733-3330 | |
Sigrid Anne Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Brenda Joyce Hurtt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 | |
Ray W Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Julie A Donahue, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
George M Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5299 | |
Mary Jane Tetzloff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5298 |