| Olga Mikhaylovna Ter-grigoryan, | |
|
3500 Tower Ave, Superior, WI 54880-5335 | |
| (715) 395-5454 | |
| Not Available |
| Full Name | Olga Mikhaylovna Ter-grigoryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 3500 Tower Ave, Superior, Wisconsin |
| 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 |
|---|---|---|---|
| 1700896420 | NPI | - | NPPES |
| 36005400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15318-30 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Superior | Superior, WI | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 378 |
| St Marys Hospital Of Superior | 8628964228 | 102 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Olga Mikhaylovna Ter-grigoryan, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 | Olga Mikhaylovna Ter-grigoryan, 3500 Tower Ave, Superior, WI 54880-5335 Ph: (715) 395-5454 |
Nicole Kristine-baur Bakken, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Marisa M Gehl, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N 28th St E, Superior, WI 54880 Phone: 218-249-5555 | |
Ms. Katie Lange Howard, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Elaina A Fischer, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Jan Michael Broad, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Sandpiper Pl, Superior, WI 54880 Phone: 715-392-9192 | |
Kelly Kristine Parish-larson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Leslie S. L. Broad, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Sandpiper Pl, Superior, WI 54880 Phone: 715-817-8834 |