| Peter Donald Sershon, MD | |
|
360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | |
| (651) 999-6800 | |
| (651) 999-6810 |
| Full Name | Peter Donald Sershon |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 360 Sherman St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104813138 | NPI | - | NPPES |
| 565205700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 33642 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blount Memorial Physician Group Inc | 6406844174 | 234 |
| Entity Name | Blount Memorial Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
| Entity Name | Tennessee Urology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669416442 PECOS PAC ID: 7618952706 Enrollment ID: O20040622001531 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Donald Sershon, MD 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800 | Peter Donald Sershon, MD 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 Ph: (651) 999-6800 |
Michael Howard Wipf, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910 | |
Dr. Joshua Lane Woelk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 Phone: 651-241-9700 Fax: 651-241-9678 | |
Michael Lee Pergament, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 400, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910 | |
Walter Paul Gleich, M.D. Urology Medicare: Medicare Enrolled Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6808 | |
Robert David Fisher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Suite 450, Saint Paul, MN 55102 Phone: 651-999-6800 Fax: 651-999-6910 | |
Parker M Eberwein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-8500 |