Alexander Ivaskovic, MD | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(651) 232-7132 | |
Not Available |
Full Name | Alexander Ivaskovic |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 21 Years |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831391432 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
ENROLLED | Medicaid | MN | |
35222300 | Medicaid | WI | |
547478000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 2009004340 (Missouri) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 50007 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healtheast St John's Hospital | Maplewood, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healtheast Medical Research Institute | 3971407636 | 517 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Alexander Ivaskovic, MD Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-1111 | Alexander Ivaskovic, MD 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7132 |
Andrzej Petryk, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1580 Beam Ave, Maplewood, MN 55109 Phone: 651-779-7978 Fax: 651-779-7656 | |
Dr. Rahul Koranne, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7800 | |
Sherry A Moriarty, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-779-2500 Fax: 651-770-8834 | |
Endea J Curry, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Ovidiu George Ardeleanu, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Madison Therese Brickner, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dr. Thomas Martin Hauth, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 |