| Lily Rkl Bastian, CNM | |
|
201 E Nicollet Blvd, Burnsville, MN 55337-5714 | |
| (952) 892-2000 | |
| Not Available |
| Full Name | Lily Rkl Bastian |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104140029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 1882 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 488 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Rkl Bastian, CNM 277a Duncan St, San Francisco, CA 94131-2019 Ph: (151) 071-7734 | Lily Rkl Bastian, CNM 201 E Nicollet Blvd, Burnsville, MN 55337-5714 Ph: (952) 892-2000 |
Kate Johnson, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4000 | |
Ms. Valor Hopes, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 305 E Nicollet Blvd Ste 393, Burnsville, MN 55337 Phone: 952-920-7001 | |
Brigitta Hope Aadland Keyler, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-460-4071 |