Jerry Wayne Stanke, MD in Saint Paul, MN - Dermatology

Jerry Wayne Stanke, MD is a Dermatology physician based in Saint Paul, Minnesota. Jerry Wayne Stanke is licensed to practice in Minnesota (license number 22442) and his current practice location is 3555 Willow Lake Blvd, Suite 240, Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 770-0110.

NPI number for Jerry Wayne Stanke is 1043329220 and his current mailing address is 60 Plato Blvd E, Suite 270, Saint Paul, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043329220.

Contact Information

	Jerry Wayne Stanke, MD
	3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131
	(651) 770-0110
	(651) 770-0134

Physician's Profile

Full Name	Jerry Wayne Stanke
Gender	Male
Speciality	Dermatology
Location	3555 Willow Lake Blvd, Saint Paul, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043329220
Provider Enumeration Date: 08/30/2006
Last Update Date: 01/28/2013

Medical Identifiers

Medical identifiers for Jerry Wayne Stanke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043329220	NPI	-	NPPES
553002400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	22442 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Wayne Stanke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerry Wayne Stanke, MD 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 Ph: (651) 209-1600	Jerry Wayne Stanke, MD 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131 Ph: (651) 770-0110

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Dermatology Doctors in Saint Paul, MN

Andrea Langeveld, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580
John Stansbury, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7000 Fax: 651-641-7166
Mrs. Wendy Roberta Timmons, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4480 Centerville Rd, Saint Paul, MN 55127 Phone: 651-484-2724 Fax: 651-484-2723
Jessica A Healy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134
Katherine E Brick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580
Dennis M Leahy, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N, Suite 720, Saint Paul, MN 55104 Phone: 651-645-3628

Jerry Wayne Stanke, MD - Dermatology in Saint Paul, MN