| Selase Adzo Agudu-morgan, FNP-C | |
|
19685 Pilot Knob Rd, Farmington, MN 55024-7238 | |
| (651) 602-7500 | |
| Not Available |
| Full Name | Selase Adzo Agudu-morgan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 19685 Pilot Knob Rd, Farmington, Minnesota |
| 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 |
|---|---|---|---|
| 1891278693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2189783 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6193 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Side Community Health Services, Inc. | 2062306434 | 42 |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Entity Name | Odam Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578934683 PECOS PAC ID: 4082911938 Enrollment ID: O20160321002318 |
| Entity Name | Minuteclinic Diagnostic Of Minnesota Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Selase Adzo Agudu-morgan, FNP-C 8936 Lyndale Ave S, Bloomington, MN 55420-2742 Ph: (952) 881-0163 | Selase Adzo Agudu-morgan, FNP-C 19685 Pilot Knob Rd, Farmington, MN 55024-7238 Ph: (651) 602-7500 |
Mrs. Lisa Ann Riggs, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17530 Europa Ave, Farmington, MN 55024 Phone: 218-421-5332 Fax: 218-249-0768 | |
Jessica Elizabeth Gallagher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21260 Chippendale Ave W, Farmington, MN 55024 Phone: 651-463-7181 Fax: 651-241-0829 | |
Jennifer Vickers, RN, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19685 Pilot Knob Rd Ste 100, Farmington, MN 55024 Phone: 651-602-7500 Fax: 651-602-7580 |