| Mary Irene Wangechi, | |
|
1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | |
| (763) 267-8701 | |
| Not Available |
| Full Name | Mary Irene Wangechi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1415 Lilac Dr N Ste 190, Golden Valley, 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 |
|---|---|---|---|
| 1295323277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 6895 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespark Medical Group Pa | 4385908201 | 20 |
| Twin Cities Physicians Professional Corporation | 9830499763 | 48 |
| Entity Name | Twin Cities Physicians Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992176499 PECOS PAC ID: 9830499763 Enrollment ID: O20151130000202 |
| Entity Name | Lifespark Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Irene Wangechi, 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 Ph: (763) 267-8701 | Mary Irene Wangechi, 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 Ph: (763) 267-8701 |
Lydia Nyakonu Sherman, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Olson Memorial Hwy Ste 300, Golden Valley, MN 55427 Phone: 651-271-1665 Fax: 612-999-1767 | |
Samantha Jo Graf, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Lilac Dr N Ste 140, Golden Valley, MN 55422 Phone: 763-465-0500 | |
Christine Sharon Habiger, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 Lilac Dr N Ste 140, Golden Valley, MN 55422 Phone: 763-465-0500 | |
Stephanie Nechole Sweezy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 612-207-0124 | |
Jessicah Gabrielson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 763-267-8701 | |
Dr. Jenneh Kotay Gbehan, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4825 Olson Memorial Hwy, Golden Valley, MN 55422 Phone: 763-496-5708 | |
Kellie Lynn Leblanc, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Decatur Ave North, Ste 109, Golden Valley, MN 55427 Phone: 612-682-4912 Fax: 612-682-4914 |