| Melissa Anne Hersey, MD | |
|
3955 Parklawn Ave Ste 120, Edina, MN 55435-5660 | |
| (952) 831-1944 | |
| Not Available |
| Full Name | Melissa Anne Hersey |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3955 Parklawn Ave Ste 120, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 51937 (Minnesota) | Primary |
| Entity Name | Southdale Pediatric Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245305895 PECOS PAC ID: 4981597077 Enrollment ID: O20040203000879 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Anne Hersey, MD 3955 Parklawn Ave Ste 120, Edina, MN 55435-5660 Ph: (952) 831-1944 | Melissa Anne Hersey, MD 3955 Parklawn Ave Ste 120, Edina, MN 55435-5660 Ph: (952) 831-1944 |
Thomas Stealey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6545 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-9191 Fax: 952-920-0232 | |
Dr. Deneen Vojta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5201 Kellogg Ave, Edina, MN 55424 Phone: 610-608-3490 | |
Lauren Bray, Pediatrics Medicare: Medicare Enrolled Practice Location: 3955 Parklawn Ave, Edina, MN 55435 Phone: 952-831-4454 | |
Dr. Roger Aviles, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Parklawn Ave, Edina, MN 55435 Phone: 953-831-4454 | |
Robert Snook, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6545 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-9191 Fax: 952-920-0232 | |
Dr. Karl Knox Williams Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Parklawn Ave, Ste 120, Edina, MN 55435 Phone: 952-831-1944 Fax: 952-278-6947 | |
Kelsey Nicole Parks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Parklawn Ave Ste 120, Edina, MN 55435 Phone: 952-278-7000 Fax: 952-278-6942 |