Tayt Ellison, MD | |
701 Park Ave, Minneapolis, MN 55415-1623 | |
(612) 873-3000 | |
Not Available |
Full Name | Tayt Ellison |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 701 Park Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194185231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME158222 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | 80137 (Minnesota) | Primary |
Entity Name | Sacred Heart Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Tayt Ellison, MD 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 | Tayt Ellison, MD 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000 |
Dr. Gregory Richard Staeheli, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-4220 | |
Dr. Venus Vakhshori, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-626-3343 | |
Dr. Andrew H Schmidt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Sarah Jean Werner, PA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-596-6100 | |
Patrick Yoon, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-4220 Fax: 612-904-4280 | |
Roby C Thompson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2512 S 7th St, 1st Floor, R102, Minneapolis, MN 55454 Phone: 612-273-9400 | |
Paul James Crowe, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N, Suite 103, Minneapolis, MN 55422 Phone: 763-520-7870 Fax: 763-520-7580 |