| Susan Fagre, MD | |
|
2004 Ford Pkwy, Saint Paul, MN 55116-1931 | |
| (651) 241-9600 | |
| (651) 241-9593 |
| Full Name | Susan Fagre |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2004 Ford Pkwy, Saint 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 |
|---|---|---|---|
| 1548285778 | NPI | - | NPPES |
| 103208900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 33870 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Fagre, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Susan Fagre, MD 2004 Ford Pkwy, Saint Paul, MN 55116-1931 Ph: (651) 241-9600 |
Emily Marie Schaaf, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-578-5258 | |
Dr. Elizabeth Zorn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N Ste 505, Saint Paul, MN 55102 Phone: 512-206-2606 Fax: 651-220-7777 | |
James Grinols, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7021 Fax: 651-641-7151 | |
Dr. Amy Rebecca Borden, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6914 | |
Laurel E Cederberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, Saint Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6295 | |
Dr. Richard Louis Baron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1804 7th St W, Suite 200, Saint Paul, MN 55116 Phone: 651-227-7806 Fax: 651-256-6766 | |
Kent W Wegmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 |