| Mitchell Odean Tollefson, CRNA | |
|
3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 | |
| (320) 258-3090 | |
| (320) 258-3090 |
| Full Name | Mitchell Odean Tollefson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 3701 12th St N Ste 202, Saint Cloud, 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 |
|---|---|---|---|
| 1184393381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2458031 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2613 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Odean Tollefson, CRNA 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 Ph: (320) 258-3090 | Mitchell Odean Tollefson, CRNA 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 Ph: (320) 258-3090 |
Craig Tangen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kimberly Huschle, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kayla Jane Elwood, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Stephany S Latunski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Penny Renee Janorschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1406 6th St N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7092 | |
Nicholas M Lejcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Bertil Lindquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095 |