Ernest Allen Teegarden Jr, CNP | |
Po Box 135, Bigfork, MN 56628-0135 | |
(218) 743-3232 | |
Not Available |
Full Name | Ernest Allen Teegarden Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | Po Box 135, Bigfork, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407653744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12213 (Minnesota) | Primary |
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 |
---|---|
Ernest Allen Teegarden Jr, CNP Po Box 135, Bigfork, MN 56628-0135 Ph: (218) 743-3232 | Ernest Allen Teegarden Jr, CNP Po Box 135, Bigfork, MN 56628-0135 Ph: (218) 743-3232 |
Julie Anne Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Pine Tree Dr, Bigfork, MN 56628 Phone: 218-743-3232 | |
Sabrina A Seyller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Pine Tree Dr, Bigfork, MN 56628 Phone: 218-743-3232 Fax: 218-743-4223 | |
Denyse Sampson Trebs, RN-CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 135 Pine Tree Dr, Bigfork, MN 56628 Phone: 218-743-3232 Fax: 218-743-4223 | |
Elizabeth Marie Jacobson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Pine Tree Dr, Bigfork, MN 56628 Phone: 218-743-3232 |