David A Dassenko, MD | |
2525 Chicago Ave, Minneapolis, MN 55404-4518 | |
(612) 813-6000 | |
Not Available |
Full Name | David A Dassenko |
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Gender | Male |
Speciality | Anesthesiology - Critical Care Medicine |
Location | 2525 Chicago Ave, 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 |
---|---|---|---|
1104865716 | NPI | - | NPPES |
983267000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LC0200X | Anesthesiology - Critical Care Medicine | 25521 (Minnesota) | Primary |
Entity Name | Metropolitan Anesthesia Network Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
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David A Dassenko, MD Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | David A Dassenko, MD 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (612) 813-6000 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Brian Tolly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 |