| Ruby Waiyee Tam, DO | |
|
5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | |
| (763) 504-6500 | |
| Not Available |
| Full Name | Ruby Waiyee Tam |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5700 Bottineau Blvd, Crystal, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194950303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53209 (Minnesota) | Primary |
| Entity Name | Northwest Family Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548366867 PECOS PAC ID: 0042102956 Enrollment ID: O20040326000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Waiyee Tam, DO 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 Ph: () - | Ruby Waiyee Tam, DO 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 Ph: (763) 504-6500 |
Dr. Gene Wayne Velasco, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3501 Douglas Dr N, Crystal, MN 55422 Phone: 763-535-9601 Fax: 763-535-5601 | |
Joyce L Anderson, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Ofer Barniv, PAC Family Medicine Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Dr. Dawn M Blomgren I, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5502 W Broadway Ave, Suite 200, Crystal, MN 55428 Phone: 763-287-6500 Fax: 763-287-6544 | |
Gretchen Soberay Betts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428 Phone: 763-504-6500 | |
Dr. Christine Irene Traxler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 888-290-1209 Fax: 833-973-3527 |