| Jennifer C Granquist-meacham, DPM | |
|
701 Hewitt Bvld, Red Wing, MN 55066-2848 | |
| (651) 267-5000 | |
| Not Available |
| Full Name | Jennifer C Granquist-meacham |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 26 Years |
| Location | 701 Hewitt Bvld, Red Wing, 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 |
|---|---|---|---|
| 1932175338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 691 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Red Wing | Red wing, MN | Hospital |
| Mayo Clinic Health System - Lake City | Lake city, MN | Hospital |
| Mayo Clinic Health System - Cannon Falls | Cannon falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 522 |
| Provider Name | Mayo Clinic Health System-lake City |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Provider Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Provider Name | Mayo Clinic Health System-lake City |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
| Provider Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Granquist-meacham, DPM 701 Hewitt Bvld, Red Wing, MN 55066-2848 Ph: (651) 267-5000 | Jennifer C Granquist-meacham, DPM 701 Hewitt Bvld, Red Wing, MN 55066-2848 Ph: (651) 267-5000 |