| Gregg A Waylander, FNP | |
|
824 N 11th St, Montevideo, MN 56265-1629 | |
| (320) 269-8877 | |
| (320) 269-8186 |
| Full Name | Gregg A Waylander |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 824 N 11th St, Montevideo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346248630 | NPI | - | NPPES |
| 045523700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R139172-1 (Minnesota) | Primary |
| Entity Name | Ccm Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg A Waylander, FNP 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 | Gregg A Waylander, FNP 824 N 11th St, Montevideo, MN 56265-1629 Ph: (320) 269-8877 |
Marcie Schmiesing, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186 | |
Amy J Rongstad, F.N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-320-8200 | |
Janice D Briones, F.N.P Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186 | |
Mrs. Brittiny Lynn Nolan, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 North 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-321-8200 | |
Stephanie Baldwin, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-269-8186 | |
Wendy Jo Augeson, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 824 N 11th St, Montevideo, MN 56265 Phone: 320-269-8877 Fax: 320-321-8111 |