| Miteku Desalgne, NP | |
|
1880 N Frontage Rd, Hastings, MN 55033-2687 | |
| (651) 438-1800 | |
| (651) 438-1837 |
| Full Name | Miteku Desalgne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1880 N Frontage Rd, Hastings, 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 |
|---|---|---|---|
| 1164028296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8215 (Minnesota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209022406 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Entity Name | Lakeshore Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437892403 PECOS PAC ID: 9335519891 Enrollment ID: O20221228001810 |
| Mailing Address | Practice Location Address |
|---|---|
| Miteku Desalgne, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Miteku Desalgne, NP 1880 N Frontage Rd, Hastings, MN 55033-2687 Ph: (651) 438-1800 |
Ms. Susan E. Nelson, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1285 Nininger Rd, Hastings, MN 55033 Phone: 651-480-4200 Fax: 651-480-4306 | |
Mary Elizabeth Glaeser, RNCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 18th St E, Hastings, MN 55033 Phone: 651-438-8500 | |
Tamirah Florence Bonaby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1411 Vermillion St, Hastings, MN 55033 Phone: 651-438-2200 | |
Ms. Lynn Marie Wachtler, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 18th St E, Hastings, MN 55033 Phone: 651-539-2418 Fax: 651-438-8536 | |
Rebecca C Grandstrand, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1880 N Frontage Rd, Hastings, MN 55033 Phone: 651-438-1800 | |
Mrs. Kristen M Gilleo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1880 N Frontage Rd, Hastings, MN 55033 Phone: 651-438-1880 |