Dr Bart Theodore Endrizzi, MD/PHD | |
500 Osborne Rd Ne Ste 330, Fridley, MN 55432-2769 | |
(763) 571-4000 | |
Not Available |
Full Name | Dr Bart Theodore Endrizzi |
---|---|
Gender | Male |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 19 Years |
Location | 500 Osborne Rd Ne Ste 330, Fridley, 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 |
---|---|---|---|
1235323585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 52206 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Metro Dermatology Pllc | 4688815343 | 5 |
Associated Skin Care Specialists, Pa | 8921908047 | 17 |
Entity Name | Associated Skin Care Specialists, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083659569 PECOS PAC ID: 8921908047 Enrollment ID: O20040116000133 |
Entity Name | North Metro Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174863658 PECOS PAC ID: 4688815343 Enrollment ID: O20130723001038 |
Mailing Address | Practice Location Address |
---|---|
Dr Bart Theodore Endrizzi, MD/PHD 119 14th St Nw Ste 240, New Brighton, MN 55112-0007 Ph: (763) 571-4000 | Dr Bart Theodore Endrizzi, MD/PHD 500 Osborne Rd Ne Ste 330, Fridley, MN 55432-2769 Ph: (763) 571-4000 |
Dr. Scott Paul Prawer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7205 University Ave Ne, Fridley, MN 55432 Phone: 763-571-4000 | |
Roger H Weenig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7205 University Ave Ne, Fridley, MN 55432 Phone: 763-571-4000 Fax: 763-571-4000 | |
Frederick S Fish, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 Phone: 763-571-4000 Fax: 763-502-2966 |