225 SMITH AVE N STE 500
SAINT PAUL, MN 55102-2545 US PECOS Enrolled
Overview
Jodi Danielle Gerdes is a Vascular Surgeon in the SAINT PAUL area and has over 19 years of experience. Jodi Danielle Gerdes primary office location is at 225 SMITH AVE N STE 500 and new patients are welcome to contact this healthcare provider for an appointment. She attended Creighton University School Of Medicine and graduated 2005
Jodi Danielle Gerdes is affiliated with one hospital in the SAINT PAUL area, ALLINA UNITED HOSPITAL. The NPI number is 1033313127 and the information was updated approximately 2 years ago.
Jodi Danielle Gerdes is affiliated with one medical group in the SAINT PAUL area, ALLINA HEALTH SYSTEM.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 51623 | TN |
| 71331 | MN |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS BLUE SHIELD | 6086635 | TN |
| MEDICAID | Q009383 | TN |
| Taxonomy | State | Primary? |
|---|---|---|
| Vascular Surgeon - Taxonomy Code 2086S0129X | MN | Y |
| Specialist - Taxonomy Code 174400000X | TN | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20220512000961 |
| PECOS Individual PAC ID: | 7315102563 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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