| Marcine P Ellwein, MD | |
|
610 30th Ave W, Alexandria, MN 56308-3426 | |
| (320) 763-5123 | |
| (320) 763-7883 |
| Full Name | Marcine P Ellwein |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 610 30th Ave W, Alexandria, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487735379 | NPI | - | NPPES |
| 096408000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 48447 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcine P Ellwein, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 | Marcine P Ellwein, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 |
Justin T Conley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Brian D Carlsen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Jean K Fahey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Kenneth J. Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 |