| Wendy Laine, MD | |
|
5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | |
| (952) 345-3215 | |
| (952) 345-8771 |
| Full Name | Wendy Laine |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 5320 W 23rd St Ste 130, St Louis Park, 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 |
|---|---|---|---|
| 1033178199 | NPI | - | NPPES |
| 47031 | Other | MN MEDICAL LICENSE | |
| 305477200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 47031 (Minnesota) | Secondary |
| 208D00000X | General Practice | 47031 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Of Minnesota Pllc | 6305233461 | 58 |
| Lifespark Medical Group Pa | 4385908201 | 20 |
| Entity Name | Lifespark Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Laine, MD 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 Ph: (952) 345-3215 | Wendy Laine, MD 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 Ph: (952) 345-3215 |
Sara English, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Carol Manning Iii, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Andre Montoya Barthelemy, MD General Practice Medicare: Medicare Enrolled Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416 Phone: 952-541-2500 Fax: 952-541-2539 |