Dr Ike Burns Hasley, MD | |
4123 Radio Dr Ste 200, Woodbury, MN 55129-3303 | |
(651) 968-5201 | |
(651) 968-5903 |
Full Name | Dr Ike Burns Hasley |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 6 Years |
Location | 4123 Radio Dr Ste 200, Woodbury, 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 |
---|---|---|---|
1942794540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 66225 (Minnesota) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 66225 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Orthopedics Ltd | 8921900374 | 237 |
Entity Name | Summit Orthopedics Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
Mailing Address | Practice Location Address |
---|---|
Dr Ike Burns Hasley, MD 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: () - | Dr Ike Burns Hasley, MD 4123 Radio Dr Ste 200, Woodbury, MN 55129-3303 Ph: (651) 968-5201 |
Mrs. Jenna Marie Swenson, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1625 Radio Dr Ste 220, Woodbury, MN 55125 Phone: 651-241-3636 | |
Dr. Daniel Timothy Probst, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 Phone: 651-968-5201 | |
Dr. Jose Ramil Obillos Santos, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 Phone: 651-968-5200 | |
Pooja Mundrati, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5200 Fax: 651-968-5904 | |
Allyson Carol Maynard, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742 |