| Sean Deane Lejonvarn, CNP | |
|
212 W Lake St, Waconia, MN 55387-1014 | |
| (763) 232-1209 | |
| (833) 630-0621 |
| Full Name | Sean Deane Lejonvarn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 212 W Lake St, Waconia, 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 |
|---|---|---|---|
| 1003426230 | NPI | - | NPPES |
| - | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7663 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Carris Health - Redwood, Llc | Redwood falls, MN | Hospital |
| Olivia Hospital & Clinic | Olivia, MN | Hospital |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
| Northern Lights Health Llc | 6305278797 | 11 |
| Entity Name | Infinite Health Collaborative, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Entity Name | Northern Lights Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316581440 PECOS PAC ID: 6305278797 Enrollment ID: O20191125001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Deane Lejonvarn, CNP 212 W Lake St, Waconia, MN 55387-1014 Ph: (651) 603-4565 | Sean Deane Lejonvarn, CNP 212 W Lake St, Waconia, MN 55387-1014 Ph: (763) 232-1209 |
Angela Lynn Hauth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Jackie L Collins, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 E Main St, Waconia, MN 55387 Phone: 866-389-2727 | |
Sara Maurer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Sarah Palmer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 S Cherry St, Waconia, MN 55387 Phone: 952-260-2055 | |
Cindy Doyscher, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Maple St, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 | |
Tracie Lynn Reamer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 |