Elizabeth Fetzer (NPI# 1275947293, PAC ID# 5092931154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1275947293 |
| PAC ID by PECOS | 5092931154 |
| Professional Enrollment ID | I20180809000709 |
| Full Name | Elizabeth Fetzer |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Address |
200 State Ave Suite 2 Faribault MN 55021-6339 |
| Phone Number | 5073333300 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4385556703 |
| Number of Group Practice Members | 571 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240093 | MAYO CLINIC HEALTH SYSTEM - MANKATO |
| 240071 | DISTRICT ONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 State Ave, Suite 2, Faribault, MN 55021-6339 | 5073333300 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Physicians | 500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin N Kastl | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Kari A Felten Mylenbusch | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System Southeast Minnesota Region | 1000 1st Dr Nw, Austin, MN 55912-2941 |
| Therese J Campbell | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
| Jason A Lee | Physical Medicine and Rehabilitation | Mayo Clinic Health System Southeast Minnesota Region | 300 State Ave, Faribault, MN 55021-6319 |
| Jacob C Kruger | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2200 Nw 26th St, Owatonna, MN 55060-5503 |
| Thomas W. Rooke | Cardiovascular Disease (cardiology) | Mayo Clinic Health System Southeast Minnesota Region | 701 Hewitt Blvd, Red Wing, MN 55066-2848 |
| Tyler S Oesterle | Psychiatry | Mayo Clinic Health System Southeast Minnesota Region | 404 W Fountain St, Albert Lea, MN 56007-2437 |
| Darcy L Reber | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 |
| Evie L Christensen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 530 W Cairns St, Ellsworth, WI 54011-9225 |
| Jeffrey M Ketcham | Ophthalmology | Mayo Clinic Health System Southeast Minnesota Region | 6487 Cedar Hills Dr, Cannon Falls, MN 55009-4264 |
| Street Address |
200 STATE AVE SUITE 2 |
| City | FARIBAULT |
| State | MN |
| Zip | 55021-6339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxfield Daniel Richardson | General Surgery | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Andrew L Wilkey | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Tanveer-e-fatema Roshanali Hassam | Hospitalist | Mayo Clinic Health System Southeast Minnesota Region | 200 State Ave, Faribault, MN 55021-6339 |
| Dena M Hoffman | Certified Registered Nurse Anesthetist (crna) | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Camille Rice | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Patricia A Gordon | Anesthesiology | American Anesthesiology of Minnesota Pa | 200 State Ave, Faribault, MN 55021-6339 |
| Trent R Steenblock | Podiatry | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Charles O Gensmer | Internal Medicine | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Mckensie M Sawyer | Certified Registered Nurse Anesthetist (crna) | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Seth B Baker | Critical Care (intensivists) | Allina Health System | 200 State Ave, Faribault, MN 55021-6339 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murray H Hanson | Optometry | Eye Clinic of Faribault, Pa | 2500 - 14th St Ne, Faribault, MN 55021-2514 |
| Paul H Hougan | Physical Therapy | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Steven W Potter | Chiropractic | 1620 Nw 17th St, Faribault, MN 55021-2839 | |
| Francine M Kovash | Physical Therapy | Therapy Werks Pa | 1620 Nw 17th St, Faribault, MN 55021-2839 |
| Angella Lynn Schaefer | Optometry | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Andrea Berube | Certified Registered Nurse Anesthetist (crna) | 1575 20th St Nw, 205a, Faribault, MN 55021-2930 | |
| Michael G Richie | Ophthalmology | Eye Clinic of Faribault, Pa | 1575 Nw 20th St, Faribault, MN 55021-2930 |
| Misty J Piller | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Sandra K Paddock | Nurse Practitioner | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Bruce V Gustafson | Optometry | Eye Clinic of Faribault, Pa | 1575 - 20th St Nw, Suite 101, Faribault, MN 55021-2931 |
| Find all physicians in zip 55021 | |||
| City | FARIBAULT |
| Zip Code | 55021 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FARIBAULT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Elizabeth Fetzer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.