| Mrs Shauna Mullings, | |
|
1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 | |
| (320) 654-3610 | |
| (320) 564-3647 |
| Full Name | Mrs Shauna Mullings |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1900 Centracare Circle #1300, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487191664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 61501 (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 |
|---|---|
| Mrs Shauna Mullings, 1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 Ph: (320) 654-3610 | Mrs Shauna Mullings, 1900 Centracare Circle #1300, Centracare Clinic Pediatric/adolescent Medicine, Saint Cloud, MN 56303-5000 Ph: (320) 654-3610 |
Matthew Molenaar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Dr. Leslie Jean Mortland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303 Phone: 320-654-3610 Fax: 320-654-3647 | |
Richard Hart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Nathan Charles Messbarger, Pediatrics Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Rosaleah Victorino Bernardo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Denise L Lenarz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Elaina Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |