Minnesota Oncology Hematology, Pa is a
Internal Medicine - Hematology & Oncology based in Maplewood, Minnesota. Minnesota Oncology Hematology, Pa is licensed to practice in Minnesota (license number 1076) and their current practice location is
1580 Beam Ave, Maplewood, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(651) 779-7978.
NPI number for Minnesota Oncology Hematology, Pa is 1376686774 and their current mailing address is 1580 Beam Ave, Maplewood, Minnesota. Minnesota Oncology Hematology, Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376686774.
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 | 1580 Beam Ave, Maplewood, 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: 1376686774
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 09/20/2013
Medical Identifiers
Medical identifiers for Minnesota Oncology Hematology, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376686774 | NPI | - | NPPES |
| 896027500 | Medicaid | MN | |
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 |
| 2085R0001X | Radiology - Radiation 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
1580 Beam Ave,
Maplewood, MN 55109-1127
Ph: (651) 779-7978 | Minnesota Oncology Hematology, Pa
1580 Beam Ave,
Maplewood, MN 55109-1127
Ph: (651) 779-7978 |
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