Dr Phillip Michael Armand Radke, MD | |
15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | |
(952) 993-4500 | |
Not Available |
Full Name | Dr Phillip Michael Armand Radke |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 13 Years |
Location | 15111 Twelve Oaks Center Dr, Minnetonka, 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 |
---|---|---|---|
1407112881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD60668469 (Washington) | Secondary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 64918 (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 |
Entity Name | Gillette Childrens Specialty Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
Entity Name | Edina Eye Physicians And Surgeons Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538264981 PECOS PAC ID: 1355382698 Enrollment ID: O20050518000059 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Michael Armand Radke, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Phillip Michael Armand Radke, MD 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 Ph: (952) 993-4500 |
Dr. William Keith Engel, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 Phone: 763-416-7600 Fax: 763-416-7634 | |
Dr. Eugene O Gullingsrud, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-888-5800 Fax: 952-567-6156 | |
Thomas W Samuelson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-888-5800 Fax: 952-567-6156 | |
Dr. Richard S Freeman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 Phone: 763-416-7600 Fax: 763-416-7634 | |
Dr. Michael Lieppman, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Chad Michael Serels, Ophthalmology Medicare: Medicare Enrolled Practice Location: 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-888-5800 Fax: 952-567-6156 |