| Mary Ellen Meighan, MD | |
|
1120 Wayzata Blvd E, Suite 100, Wayzata, MN 55391-1916 | |
| (952) 476-6733 | |
| (952) 476-0084 |
| Full Name | Mary Ellen Meighan |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 41 Years |
| Location | 1120 Wayzata Blvd E, Wayzata, 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 |
|---|---|---|---|
| 1447236062 | NPI | - | NPPES |
| 107778300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 34897 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Skin Specialists Ltd | 0446558993 | 15 |
| Entity Name | United Skin Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861861759 PECOS PAC ID: 0446558993 Enrollment ID: O20160415001552 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Meighan, MD 1120 Wayzata Blvd E, Suite 100, Wayzata, MN 55391-1916 Ph: (952) 476-6733 | Mary Ellen Meighan, MD 1120 Wayzata Blvd E, Suite 100, Wayzata, MN 55391-1916 Ph: (952) 476-6733 |
Jenna Ruggiero, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Wayzata, MN 55391 Phone: 952-993-8250 |
Lauren Van Hove, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Wayzata, MN 55391 Phone: 952-993-8250 |
Dr. Phillip M Ecker, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391 Phone: 952-222-8149 Fax: 262-240-6257 |
Dr. Judith Frances Shank, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 330 Peavey Ln, Wayzata, MN 55391 Phone: 952-476-0950 Fax: 952-404-0804 |