Dr Anastas C Provatas, MD | |
3605 Mayfair Ave, Hibbing, MN 55746-2935 | |
(218) 262-3441 | |
(218) 362-6908 |
Full Name | Dr Anastas C Provatas |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 39 Years |
Location | 3605 Mayfair Ave, Hibbing, 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 |
---|---|---|---|
1497740054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 9500693 (North Carolina) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 105335 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Range Regional Health Services | 8022920024 | 130 |
Grand Itasca Clinic And Hospital | 8123939550 | 115 |
Entity Name | Grand Itasca Clinic And Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
Entity Name | Range Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Mailing Address | Practice Location Address |
---|---|
Dr Anastas C Provatas, MD 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441 | Dr Anastas C Provatas, MD 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441 |
Dr. Shih-an John Hsieh, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 | |
Aparna Basu, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 | |
Dr. Hsieng-teh Su, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 | |
Dr. Andrew William Mckibben, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: Fairview Range Medical Center, 750 E 34th St, Hibbing, MN 55746 Phone: 612-672-2258 Fax: 612-672-6041 | |
Dr. Nancy Lynne Moyer, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 | |
Anthony Patrick Bastianelli, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 |