| Timothy Wilson, CRNA | |
|
800 E 28th St, Minneapolis, MN 55407-3723 | |
| (612) 863-4000 | |
| Not Available |
| Full Name | Timothy Wilson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 800 E 28th St, Minneapolis, 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 |
|---|---|---|---|
| 1417408147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R 215550-0 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 111898 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesia Providers Llc | 7315986064 | 314 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Wilson, CRNA 4401 Park Glen Rd Apt 306, St Louis Park, MN 55416-4768 Ph: (707) 315-7142 | Timothy Wilson, CRNA 800 E 28th St, Minneapolis, MN 55407-3723 Ph: (612) 863-4000 |
Mrs. Angela Renae Mund, MS CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3393 | |
Nancy S Hawley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3152 Fax: 612-904-4218 | |
Drew David Mathews, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Joyce Sia Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Sara Jayne Armbruster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440 Phone: 952-883-7172 Fax: 952-883-5395 | |
Linh Tran Geist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Asal Salehpoor Driscoll, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6273 |