David T Chang, MD | |
1835 County Road C W, Suite 150, Roseville, MN 55113-1352 | |
(651) 430-3800 | |
(651) 430-3827 |
Full Name | David T Chang |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 28 Years |
Location | 1835 County Road C W, Roseville, 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 |
---|---|---|---|
1336116052 | NPI | - | NPPES |
06382528 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 6663120 (Wisconsin) | Secondary |
207T00000X | Neurological Surgery | 48863 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Memorial Health | Robbinsdale, MN | Hospital |
St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
Allina United Hospital | Saint paul, MN | Hospital |
Lakewood Health System | Staples, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Memorial Health Care | 0042123028 | 474 |
Midwest Spine And Brain Institute Llc | 4183613557 | 9 |
Allina Health System | 4587573613 | 3101 |
St. Croix Regional Medical Center | 9335032184 | 147 |
St. Croix Regional Medical Center | 9335032184 | 147 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Midwest Spine & Brain Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902836133 PECOS PAC ID: 4183613557 Enrollment ID: O20040511000078 |
Entity Name | St. Croix Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
David T Chang, MD 1950 Northwestern Ave S Ste 102, Stillwater, MN 55082-7615 Ph: (651) 430-3800 | David T Chang, MD 1835 County Road C W, Suite 150, Roseville, MN 55113-1352 Ph: (651) 430-3800 |