| Michael P Mcgrail Jr, MD | |
|
640 Jackson Street, Mc 11503n, St Paul, MN 55101-2502 | |
| (651) 254-3313 | |
| (651) 254-3874 |
| Full Name | Michael P Mcgrail Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 640 Jackson Street, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831166867 | NPI | - | NPPES |
| 239215100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 37035 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 37035 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Ltc Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417251935 PECOS PAC ID: 7911181029 Enrollment ID: O20110414000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Mcgrail Jr, MD 7801 E Bush Lake Rd, Ste 400, Minneapolis, MN 55439-3113 Ph: (952) 479-4261 | Michael P Mcgrail Jr, MD 640 Jackson Street, Mc 11503n, St Paul, MN 55101-2502 Ph: (651) 254-3313 |
Robert Frederick Campbell, MD MPH Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3m Center Building 220 6w 08, St Paul, MN 55144 Phone: 651-737-4552 Fax: 651-733-9066 | |
Denise M Lewis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Randolph Avenue, St Paul, MN 55105 Phone: 651-699-8333 Fax: 651-699-9257 | |
Jennifer Smith-kristensen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1026 W 7th Street, St Paul, MN 55102 Phone: 651-241-1000 | |
Elizabeth E Frost, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez Street, St Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Brenda Louise Wilcox Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Como Avenue, St Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6295 | |
Eric T Trehus, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 S Wabasha St, Mall Stop 31300a Healthpartners St. Paul Clinic, St Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 | |
Dr. Paulose S John, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Como Avenue, Ms31100a Healthpartners Como Clinic, St Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6205 |