Dr Mari B Ito, MD | |
9055 Springbrook Dr Nw, Urgency Care, Coon Rapids, MN 55433-5841 | |
(763) 236-7144 | |
(763) 236-7733 |
Full Name | Dr Mari B Ito |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467429621 | NPI | - | NPPES |
539500300 | Medicaid | MN | |
33781 | Other | MN | MN MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 33781 (Minnesota) | Primary |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
---|---|
Dr Mari B Ito, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-1166 | Dr Mari B Ito, MD 9055 Springbrook Dr Nw, Urgency Care, Coon Rapids, MN 55433-5841 Ph: (763) 236-7144 |
Noel Pillman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Alan Fuller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Joseph P Lynch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Ms. Amanda M Baker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Jodi Greenlaw, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Carl Blashko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Mercy Hospital, Coon Rapids, MN 55433 Phone: 763-236-7144 Fax: 763-236-7733 | |
Sharon Sweeney Carmody, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 Phone: 763-236-7144 |