| Swarna Erramreddi Latha, MD | |
|
675 Water St, Excelsior, MN 55331-3063 | |
| (952) 474-4167 | |
| (952) 474-5700 |
| Full Name | Swarna Erramreddi Latha |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 675 Water St, Excelsior, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912013954 | NPI | - | NPPES |
| 100537 | Other | MN | UCARE |
| 566K6LA | Other | MN | HEALTHPARTNERS |
| 58784 | Other | MN | ARAZ |
| 566K61A | Other | MN | BLUE CROSS |
| O85231700 | Medicaid | MN | |
| 012552 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36343 (Minnesota) | Primary |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Swarna Erramreddi Latha, MD 1852 N Mastick Way, Nogales, AZ 85621-1063 Ph: (520) 761-2128 | Swarna Erramreddi Latha, MD 675 Water St, Excelsior, MN 55331-3063 Ph: (952) 474-4167 |
Elizabeth Lynn Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 | |
Dr. Lucy Kurtz Eikevik, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 | |
Joshua Scheck, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19685 Highway 7, Excelsior, MN 55331 Phone: 952-993-4350 | |
Tristan Pennella, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 | |
Dr. Hilary M Hammell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19685 Highway 7, Excelsior, MN 55331 Phone: 952-999-3290 Fax: 952-993-2940 | |
Michael T Schulenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523 |