Dr Stella K Evans, MD | |
3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 | |
(763) 588-0758 | |
Not Available |
Full Name | Dr Stella K Evans |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3366 Oakdale Ave N, Robbinsdale, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396712022 | NPI | - | NPPES |
814650100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 47409 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Children's Clinic Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538 |
Mailing Address | Practice Location Address |
---|---|
Dr Stella K Evans, MD 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 Ph: (763) 588-0758 | Dr Stella K Evans, MD 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 Ph: (763) 588-0758 |
Dr. James Emerson Mapellentz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-0962 | |
Molly F Wyman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-0933 Fax: 763-257-8356 | |
Dr. Fatima R. Jiwa, MBCHB Pediatrics Medicare: Medicare Enrolled Practice Location: 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422 Phone: 763-588-0758 Fax: 763-588-8505 |