| Awah L Ditah, NP | |
|
237 Radio Dr Ste 210, Woodbury, MN 55125-4478 | |
| (612) 871-1145 | |
| (612) 870-5491 |
| Full Name | Awah L Ditah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 237 Radio Dr Ste 210, Woodbury, 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 |
|---|---|---|---|
| 1851982557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020044322 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Entity Name | Mngi Digestive Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Mailing Address | Practice Location Address |
|---|---|
| Awah L Ditah, NP Po Box 14909, Minneapolis, MN 55414-0909 Ph: (612) 871-1145 | Awah L Ditah, NP 237 Radio Dr Ste 210, Woodbury, MN 55125-4478 Ph: (612) 871-1145 |
Heidi Lee Brown, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7650 Currell Blvd Ste 330, Woodbury, MN 55125 Phone: 651-738-7800 Fax: 651-738-9501 | |
Michelle Garay, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 659 Bielenberg Dr Ste 100, Woodbury, MN 55125 Phone: 952-903-1329 Fax: 651-259-9780 | |
Laurie Geddes, MS, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 | |
Ogechukwu Ugwu, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2658 Brittany Ln, Woodbury, MN 55125 Phone: 651-795-9209 | |
Tamara Tew, APRN, CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2040 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-259-9750 | |
Morgan Borine, MA, MS, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Bielenberg Dr Ste 180, Woodbury, MN 55125 Phone: 612-225-4141 | |
Marcy J Bents, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0100 |