| Mrs Alisa Sarah Eytcheson, NP-C | |
|
800 Medical Center Dr, Fairmont, MN 56031-4575 | |
| (507) 238-8100 | |
| Not Available |
| Full Name | Mrs Alisa Sarah Eytcheson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 800 Medical Center Dr, Fairmont, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427462993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R-196236-7 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 149 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
| Entity Name | Custom Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699859124 PECOS PAC ID: 2961506860 Enrollment ID: O20070403000140 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639198732 PECOS PAC ID: 9537170352 Enrollment ID: O20080108000344 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740256668 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003933 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alisa Sarah Eytcheson, NP-C 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 238-8100 | Mrs Alisa Sarah Eytcheson, NP-C 800 Medical Center Dr, Fairmont, MN 56031-4575 Ph: (507) 238-8100 |
Jauclyn Renee Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Jonathan E Rohde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
April E Poolman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Julie M. Rolstad, RN, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 Fax: 507-238-8522 | |
Mrs. Rebekah Jean Boer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 Center Creek Dr, Fairmont, MN 56031 Phone: 507-238-4968 | |
Sarah Martinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Fidelis Musau Kiungua, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |