Antoinette Marie Moran, MD | |
420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 | |
(612) 626-6777 | |
Not Available |
Full Name | Antoinette Marie Moran |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 420 Delaware St Se, Mmc 404, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780618249 | NPI | - | NPPES |
0051748 | Medicaid | MT | |
706594700 | Medicaid | MN | |
100925 | Other | UCARE | |
0963157 | Medicaid | IA | |
0246157 | Other | OH | OH MA |
1009249 | Other | PREFERRED ONE | |
31504800 | Medicaid | WI | |
HP 21999 | Other | HEALTHPARTNERS | |
3374526 | Other | MEDICA PRIMARY | |
24534 | Other | ARAZ/PPO | |
2T300MO | Other | MN | BCBS |
3324983 | Other | MEDICA CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31322 (Minnesota) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 31322 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
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 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Antoinette Marie Moran, MD 420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-6777 | Antoinette Marie Moran, MD 420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-6777 |
Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |