David W Moen, MD | |
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
(651) 982-7000 | |
Not Available |
Full Name | David W Moen |
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Gender | Male |
Speciality | Family Medicine - Hospice And Palliative Medicine |
Location | 5200 Fairview Blvd, Wyoming, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942312301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 30974 (Minnesota) | Primary |
207P00000X | Emergency Medicine | 30974 (Minnesota) | Secondary |
Entity Name | Landmark Medical Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841914090 PECOS PAC ID: 8527453851 Enrollment ID: O20230104000952 |
Mailing Address | Practice Location Address |
---|---|
David W Moen, MD 40 S Main St Ste 1300, Memphis, TN 38103-5513 Ph: (866) 949-0108 | David W Moen, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000 |
Dean E Krats, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
David J Tosteson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Anita Bajpai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
John P Eikens, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Kevin Ronneberg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Deborah K Strand, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Mark G Trainor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |