Dr Brian R Koller, MD | |
675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | |
(952) 993-3307 | |
Not Available |
Full Name | Dr Brian R Koller |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 675 E Nicollet Blvd Ste 250, Burnsville, 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 |
---|---|---|---|
1043295223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 36329 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Nystrom & Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian R Koller, MD 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 Ph: (952) 993-3307 | Dr Brian R Koller, MD 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 Ph: (952) 993-3307 |
Dr. Jack Edward Hubbard Jr., PH.D., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337 Phone: 952-435-8516 Fax: 763-302-4336 | |
M Gene Parrish, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8608 | |
Yelena Sergeevna Mironova-chin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 675 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-993-3307 | |
Dr. Ruth Mize Myers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14300 Nicollet Court, Suite 207, Burnsville, MN 55306 Phone: 952-898-7578 Fax: 952-898-7592 | |
Dr. Ingrid Abols-mantyh, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337 Phone: 952-435-8516 Fax: 763-302-4336 | |
Dr. Leland James Scott, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 E Nicollet Blvd Ste 100, Burnsville, MN 55337 Phone: 952-435-8516 Fax: 763-302-4336 |