| Breanna Kruger, | |
|
155 Radio Dr, Woodbury, MN 55125-2619 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Breanna Kruger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 155 Radio Dr, 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 |
|---|---|---|---|
| 1144908641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10364 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 10364 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Kruger, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Breanna Kruger, 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742 |
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 |