| Sara Jane Ellis, PT | |
|
1406 6th Ave N, Saint Cloud, MN 56303 | |
| (320) 229-4922 | |
| (320) 229-5183 |
| Full Name | Sara Jane Ellis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1406 6th Ave N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932283397 | NPI | - | NPPES |
| HP30970 | Other | MN | HEALTHPARTNERS |
| P00024072 | Other | MN | RAILROAD MEDICARE |
| 088475800 | Medicaid | MN | |
| 382S9EL | Other | MN | BLUE CROSS BLUE SHIELD |
| 64-03510 | Other | MN | MEDICA AND SELECT CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6210 (Minnesota) | Primary |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Jane Ellis, PT 1406 6th Ave N, Saint Cloud, MN 56303-1901 Ph: (320) 229-4922 | Sara Jane Ellis, PT 1406 6th Ave N, Saint Cloud, MN 56303 Ph: (320) 229-4922 |
Hunter Kero, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir Ste 1550, Saint Cloud, MN 56303 Phone: 320-229-4922 | |
Mr. Aaron Robert Sufka, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6303 Fax: 320-255-6327 | |
Shaunte Mueller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S Ste 210, Saint Cloud, MN 56301 Phone: 320-240-6955 | |
Jenny Mohler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2835 W Saint Germain St, Saint Cloud, MN 56301 Phone: 320-359-4151 | |
Mrs. Lisa Ann Barker, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Ste. 1550, Saint Cloud, MN 56303 Phone: 320-229-5199 Fax: 320-229-5183 | |
Paul Thomas Tembrock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Suite A, Saint Cloud, MN 56303 Phone: 320-259-5429 Fax: 320-240-8905 | |
Sarah Elizabeth Enga, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 48 29th Ave N, Saint Cloud, MN 56303 Phone: 320-240-0300 Fax: 320-240-0303 |