Dr Ivo C Ditah, MD | |
435 Phalen Blvd, Saint Paul, MN 55130-5302 | |
(651) 254-8680 | |
(651) 254-8656 |
Full Name | Dr Ivo C Ditah |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 21 Years |
Location | 435 Phalen Blvd, Saint Paul, 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 |
---|---|---|---|
1265667778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 106408 (Minnesota) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 55599 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regions Hospital | Saint paul, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivo C Ditah, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Ivo C Ditah, MD 435 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-8680 |
Wojciech Kraszkiewicz, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Nicholas Charles Boysen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Joel E Money, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910 | |
Nathan M Frink, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899 | |
Dr. Andrew Caraganis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Dr. Patrick George Manning, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 | |
Anthony Williams, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |