| Kristi Lee Werdin, MD | |
|
2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 | |
| (651) 264-1500 | |
| (651) 264-1646 |
| Full Name | Kristi Lee Werdin |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 40 Years |
| Location | 2945 Hazelwood St Ste 310, Maplewood, 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 |
|---|---|---|---|
| 1528099538 | NPI | - | NPPES |
| 466565100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 34357 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Western Wisconsin Health | Baldwin, WI | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Glencoe Regional Health Services | Glencoe, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Regional Pathology Laboratories Pa | 1658356696 | 4 |
| Fairview Express Care | 3375645179 | 1733 |
| Healtheast Medical Research Institute | 3971407636 | 599 |
| 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 Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| 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 | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | Central Regional Pathology Laboratories Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827484 PECOS PAC ID: 1658356696 Enrollment ID: O20040623000289 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Lee Werdin, MD 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 Ph: (651) 264-1500 | Kristi Lee Werdin, MD 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 Ph: (651) 264-1500 |
Byron H Simmons, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 310, Maplewood, MN 55109 Phone: 651-264-1500 Fax: 651-264-1646 | |
Jaena J Wisniewski, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 310, Maplewood, MN 55109 Phone: 651-264-1500 |