Dr Keegan Lawrence Maxwell, MD | |
2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 | |
(320) 259-1411 | |
(320) 259-8967 |
Full Name | Dr Keegan Lawrence Maxwell |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 2351 Connecticut Ave S, Sartell, 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 |
---|---|---|---|
1790712883 | NPI | - | NPPES |
P00629856 | Other | MN | RAILROAD MEDICARE |
1790712883 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 12655 (South Dakota) | Primary |
208800000X | Urology | 51197 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
Milbank Area Hospital/avera Health | Milbank, SD | Hospital |
Coteau Des Prairies Health Care System | Sisseton, SD | Hospital |
Sanford Hospital Webster - Cah | Webster, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
Entity Name | Prairie Lakes Health Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
Mailing Address | Practice Location Address |
---|---|
Dr Keegan Lawrence Maxwell, MD 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7777 | Dr Keegan Lawrence Maxwell, MD 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 Ph: (320) 259-1411 |
Dr. John Kazuo Matsuura, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Andrew Peter Windsperger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Albert David Matthew, Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Dr. Christopher William Boelter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Elizabeth A Phillips, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Lori Ann Pinke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Shawn Michael Mcgee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 |