Dr Scott Edward Wavinak, DO | |
4151 Willowwood St Se, Prior Lake, MN 55372-4304 | |
(952) 226-2600 | |
Not Available |
Full Name | Dr Scott Edward Wavinak |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 4151 Willowwood St Se, Prior 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 |
---|---|---|---|
1063831733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 60135 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
Fairview Ridges Hospital | Burnsville, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Clinics | 7113830142 | 658 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Edward Wavinak, DO 4151 Willowwood St Se, Prior Lake, MN 55372-4304 Ph: () - | Dr Scott Edward Wavinak, DO 4151 Willowwood St Se, Prior Lake, MN 55372-4304 Ph: (952) 226-2600 |
Karen Marie Weiler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Troy A Scott, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Jessica A Vanderscoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372 Phone: 952-226-2600 | |
Doreen Lubi Isubikalu, Family Medicine Medicare: Medicare Enrolled Practice Location: 2330 Sioux Trail Nw, Prior Lake, MN 55372 Phone: 952-496-6150 | |
Daniel Trajano, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 | |
Dr. Samuel Asante-buabeng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372 Phone: 952-993-7750 Fax: 952-993-8820 |