| Ruth J Tiffault, DO | |
|
1202 5th Grant Blvd, Wabasha, MN 55981-1042 | |
| (651) 565-4571 | |
| Not Available |
| Full Name | Ruth J Tiffault |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1202 5th Grant Blvd, Wabasha, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205806288 | NPI | - | NPPES |
| 995319100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41252 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Medical Center | Wabasha, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 82 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth J Tiffault, DO 1202 5th Grant Blvd, Wabasha, MN 55981-1042 Ph: (651) 565-4571 | Ruth J Tiffault, DO 1202 5th Grant Blvd, Wabasha, MN 55981-1042 Ph: (651) 565-4571 |
Fred Mcrae Roberson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1202 5th Grant Blvd, Lake City Medical Center, Wabasha, MN 55981 Phone: 651-565-4571 Fax: 651-565-4818 | |
Joseph V Mcgrath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1202 5th Grant Blvd, Wabasha, MN 55981 Phone: 651-565-4571 | |
Garrett W Shanks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Grant Blvd W, Wabasha, MN 55981 Phone: 651-565-4531 | |
Earle C Munns, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 12th St E, Wabasha, MN 55981 Phone: 817-455-6927 | |
Kent Shepard Jeffery, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1018 Broadway Ave, Wabasha, MN 55981 Phone: 507-696-0248 | |
Brian E. Kelly, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1202 5th Grant Blvd, Wabasha, MN 55981 Phone: 651-565-4571 |