Dr Amy Sue Hentges, MD | |
11269 Jefferson Hwy N, Champlin, MN 55316-3123 | |
(763) 236-0600 | |
Not Available |
Full Name | Dr Amy Sue Hentges |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11269 Jefferson Hwy N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245293323 | NPI | - | NPPES |
206031100 | Medicaid | MN | |
1041310 | Other | MN | PREFERRED ONE |
833S9HE | Other | MN | BCBS OF MN |
132025 | Other | MN | UCARE MN |
2156416 | Other | MN | AMERICA'S PPO |
HP42393 | Other | MN | HEALTHPARTNERS |
1202907 | Other | MN | MEDICA |
7069631 | Other | MN | AETNA |
6607779 | Other | MN | MEDICA UC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 46204 (Minnesota) | Primary |
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 | 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 |
---|---|
Dr Amy Sue Hentges, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Dr Amy Sue Hentges, MD 11269 Jefferson Hwy N, Champlin, MN 55316-3123 Ph: (763) 236-0600 |
Andrea M Spandl, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Kaye Ann Marie Abel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-236-0606 | |
Sandra Joanne Schultz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 Fax: 952-977-0510 | |
Rita Marie Cortese, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 Fax: 952-977-0501 |