Dr Olufemi O Banjoko, MD | |
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-5041 | |
Not Available |
Full Name | Dr Olufemi O Banjoko |
---|---|
Gender | Male |
Speciality | Geriatric Medicine |
Experience | 30 Years |
Location | 3850 Park Nicollet Blvd, St Louis Park, 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 |
---|---|---|---|
1073590519 | NPI | - | NPPES |
948180000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 45922 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina Health Hospice & Palliative Care | Saint paul, MN | Hospice |
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Augustana Chapel View Care Center | Hopkins, MN | Nursing home |
Martin Luther Care Center | Bloomington, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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 Olufemi O Banjoko, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Olufemi O Banjoko, MD 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-5041 |
Cara Houle, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Janet Grayson, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6600 | |
Keith Harmon, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426 Phone: 952-993-3242 | |
Jeffrey J Shultz, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Amanda J Calvin, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 | |
Sarah Evert, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Stevie Maxwell, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 |