Daniel W Reynolds, MD | |
11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 | |
(763) 236-9000 | |
(763) 236-9010 |
Full Name | Daniel W Reynolds |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11850 Blackfoot St Nw Ste 130, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942275961 | NPI | - | NPPES |
246225700 | Medicaid | MN | |
34090600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 53998 (Wisconsin) | Secondary |
208600000X | Surgery | 36923 (Minnesota) | Primary |
Entity Name | Reedsburg Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
Mailing Address | Practice Location Address |
---|---|
Daniel W Reynolds, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Daniel W Reynolds, MD 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 Ph: (763) 236-9000 |
Dr. Mallory Jo Yelenich-huss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 1, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Dr. Agnieszka S Hatfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-1900 Fax: 763-236-9010 | |
Martin Zadnik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 | |
Alan Stuart Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Megan Pouliot, DNP Surgery Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8124 | |
William J Mohr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 | |
Kevin M Steadland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 |