Dr Owen D Vincent, DO | |
1430 Highway 96 E, White Bear Lake, MN 55110-3653 | |
(952) 967-6614 | |
(651) 653-2125 |
Full Name | Dr Owen D Vincent |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 13 Years |
Location | 1430 Highway 96 E, White Bear Lake, 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 |
---|---|---|---|
1619263324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO-04547 (Iowa) | Secondary |
207Q00000X | Family Medicine | 61870-21 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 63626 (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 | Park Nicollet Clinic |
---|---|
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 Owen D Vincent, DO 8170 33rd Ave, Ms 21110q, Bloomington, MN 55425-4516 Ph: (952) 967-6614 | Dr Owen D Vincent, DO 1430 Highway 96 E, White Bear Lake, MN 55110-3653 Ph: (952) 967-6614 |
Carol K Stark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Dr. Anna Margaret Dang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Rachel Bachman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Joseph Stephen Micallef, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E - Mail Stop 32300a, Healthpartners White Bear Lake Clinic, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 | |
Jeffrey D Elbers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Hannah Marie Jenson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Dale J Duthoy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 |