Minnesota Oncology Hematology, Pa is a
Internal Medicine - Hematology & Oncology based in Coon Rapids, Minnesota. Minnesota Oncology Hematology, Pa is licensed to practice in Minnesota (license number 1076) and their current practice location is
11850 Blackfoot Nw, Suite 100, Coon Rapids, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(763) 712-2100.
NPI number for Minnesota Oncology Hematology, Pa is 1619111705 and their current mailing address is 11850 Blackfoot Nw, Suite 100, Coon Rapids, Minnesota. Minnesota Oncology Hematology, Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619111705.
Healthcare Provider's Profile
| Full Name | Minnesota Oncology Hematology, Pa |
|---|
| Type | Facility |
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| Speciality | Internal Medicine - Hematology & Oncology |
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| Location | 11850 Blackfoot Nw, Coon Rapids, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619111705
- Provider Enumeration Date: 04/21/2009
- Last Update Date: 12/20/2013
Medical Identifiers
Medical identifiers for Minnesota Oncology Hematology, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619111705 | NPI | - | NPPES |
| C01828 | Other | MN | MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1076 (Minnesota) | Secondary |
| 170300000X | Genetic Counselor, Ms | 1076 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 1076 (Minnesota) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 1076 (Minnesota) | Primary |
| 207RX0202X | Internal Medicine - Medical Oncology | 1076 (Minnesota) | Secondary |
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 1076 (Minnesota) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 1076 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1076 (Minnesota) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 1076 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 1076 (Minnesota) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 1076 (Minnesota) | Secondary |
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. Minnesota Oncology Hematology, Pa 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 |
|---|
Minnesota Oncology Hematology, Pa
11850 Blackfoot Nw, Suite 100,
Coon Rapids, MN 55433-2569
Ph: (763) 712-2100 | Minnesota Oncology Hematology, Pa
11850 Blackfoot Nw, Suite 100,
Coon Rapids, MN 55433-2569
Ph: (763) 712-2100 |
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