| Veronica Lynn Carson, GNP-BG | |
|
4195 Westberg Rd Apt 436, Hermantown, MN 55811-3888 | |
| (701) 516-4637 | |
| (877) 651-1381 |
| Full Name | Veronica Lynn Carson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 4195 Westberg Rd Apt 436, Hermantown, 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 |
|---|---|---|---|
| 1366751059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 1294 (Minnesota) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | R-175893-7 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Home Health-wisconsin | Madison, WI | Home health agency |
| St Lukes Hospital | Duluth, MN | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Medical Llc | 0648698290 | 20 |
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Allina Health System | 4587573613 | 3584 |
| Ssm Health Care Of Wisconsin Inc | 8527977867 | 30 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| 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 |
| 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 | On Call Clinicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700217296 PECOS PAC ID: 3678471901 Enrollment ID: O20140123000530 |
| Entity Name | Legacy Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619594637 PECOS PAC ID: 0648698290 Enrollment ID: O20210623000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Veronica Lynn Carson, GNP-BG 2965 E Tarpon Dr Ste 150, Meridian, ID 83642-9007 Ph: (208) 287-9420 | Veronica Lynn Carson, GNP-BG 4195 Westberg Rd Apt 436, Hermantown, MN 55811-3888 Ph: (701) 516-4637 |