Charles B Donovan, MD | |
7505 Metro Blvd Ste 400, Edina, MN 55439 | |
(612) 573-2200 | |
(612) 573-2274 |
Full Name | Charles B Donovan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 7505 Metro Blvd Ste 400, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124077912 | NPI | - | NPPES |
2443230 | Other | MN | AMERICA'S PPO |
505P3DO | Other | MN | BLUE CROSS BLUE SHIELD |
HP63008 | Other | MN | HEALTHPARTNERS |
99112184 | Other | WI | WI HEALTH INSURANCE RISK SHARING PLAN |
0721050 | Medicaid | IA | |
16-04146 | Other | MN | MEDICA |
252817 | Other | MN | MIDLANDS CHOICE INC |
1046956 | Other | MN | PREFERRED ONE |
9103415 | Other | MN | PHCS/MULTIPLAN |
P00327700 | Other | MN | RAILROAD MEDICARE MN |
133042 | Other | MN | UCARE |
P00327697 | Other | WI | RAILROAD MEDICARE WI |
34864100 | Medicaid | WI | |
621966700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 48603 (Minnesota) | Primary |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Entity Name | Noran Neurological Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710098306 PECOS PAC ID: 3971497389 Enrollment ID: O20040209000324 |
Entity Name | St Francis Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
Mailing Address | Practice Location Address |
---|---|
Charles B Donovan, MD 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 Ph: (612) 573-2200 | Charles B Donovan, MD 7505 Metro Blvd Ste 400, Edina, MN 55439 Ph: (612) 573-2200 |
Mohammad Abbas Kassir, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7505 Metro Blvd, Ste 400, Edina, MN 55439 Phone: 612-573-2200 Fax: 612-573-2274 | |
David W Hunter, MD Radiology Medicare: Medicare Enrolled Practice Location: 7505 Metro Blvd Ste 400, Edina, MN 55439 Phone: 612-573-2200 Fax: 612-573-2274 | |
Eul S Kang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7505 Metro Blvd, Ste 400, Edina, MN 55439 Phone: 612-573-2200 Fax: 612-573-2274 | |
Gregory Evan Meyers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6950 France Ave S Ste 200, Edina, MN 55435 Phone: 952-920-4915 | |
Dr. Darcy Ross Mcbride, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7401 Metro Blvd Ste 210, Edina, MN 55439 Phone: 952-920-4915 Fax: 952-915-6091 | |
Anthony M Cook, MBBS Radiology Medicare: Not Enrolled in Medicare Practice Location: 7505 Metro Blvd Ste 400, Edina, MN 55439 Phone: 612-573-2200 Fax: 612-573-2274 |