Dr Larisa Sotinsky Speetzen, MD | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-1000 | |
Not Available |
Full Name | Dr Larisa Sotinsky Speetzen |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 16 Years |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215199963 | NPI | - | NPPES |
450641 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 42182 (Arizona) | Secondary |
207N00000X | Dermatology | 106410 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Larisa Sotinsky Speetzen, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1000 | Dr Larisa Sotinsky Speetzen, MD 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1000 |
Karla Susan Rosenman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Dermatology 4th Floor, St Louis Park, MN 55416 Phone: 952-993-3821 | |
Dr. Alison M Lang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3789 | |
Anne B Neeley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-3286 | |
Allison L Schini, Dermatology Medicare: Accepting Medicare Assignments Practice Location: Park Nicollet Clinic - Slp, 3800 Park Nicollet Blvd Admin 7n, St Louis Park, MN 55416 Phone: 952-993-3260 Fax: 952-993-0333 | |
Dr. Rachel S Hub, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3789 | |
Michael Macaulay, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3789 |