Minnesota Oncology Hematology Pa is a
Internal Medicine - Hematology & Oncology based in Plymouth, Minnesota. Minnesota Oncology Hematology Pa is licensed to practice in Minnesota (license number 1076) and their current practice location is
2805 Campus Dr, Suite 105, Plymouth, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(763) 519-7440.
NPI number for Minnesota Oncology Hematology Pa is 1235498619 and their current mailing address is 2805 Campus Dr, Suite 105, Plymouth, Minnesota. Minnesota Oncology Hematology Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1235498619.
Healthcare Provider's Profile
| Full Name | Minnesota Oncology Hematology Pa |
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| Type | Facility |
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| Speciality | Internal Medicine - Hematology & Oncology |
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| Location | 2805 Campus Dr, Plymouth, 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: 1235498619
- Provider Enumeration Date: 05/07/2012
- 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 |
|---|
| 1235498619 | NPI | - | NPPES |
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 | (* (Not Available)) | 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
2805 Campus Dr, Suite 105,
Plymouth, MN 55441-2676
Ph: (763) 519-7440 | Minnesota Oncology Hematology Pa
2805 Campus Dr, Suite 105,
Plymouth, MN 55441-2676
Ph: (763) 519-7440 |
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