| Jeremy Jay Waldo, CNP | |
|
111 County Road 11 Nw, Pine Island, MN 55963-9756 | |
| (507) 356-4929 | |
| Not Available |
| Full Name | Jeremy Jay Waldo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 111 County Road 11 Nw, Pine Island, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215222708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R1432965 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Health Services Of Howard County | Cresco, IA | Hospital |
| St Elizabeth Medical Center | Wabasha, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Health Services Of Howard County | 1153238977 | 23 |
| Entity Name | Regional Health Services Of Howard County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730283326 PECOS PAC ID: 1153238977 Enrollment ID: O20040130000356 |
| Entity Name | Regional Health Services Of Howard County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417991316 PECOS PAC ID: 1153238977 Enrollment ID: O20061104000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Jay Waldo, CNP 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 | Jeremy Jay Waldo, CNP 111 County Road 11 Nw, Pine Island, MN 55963-9756 Ph: (507) 356-4929 |
Peter Nicholas Brehmer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 | |
Penny Louise Flavin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 County Road 11 Nw, Pine Island, MN 55963 Phone: 507-356-4929 |