Dr Steven M Connelly, MD is a medicare enrolled "Otolaryngology" physician in Saint Louis Park, Minnesota. He went to University Of Wisconsin School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Park Nicollet Clinic and his current practice location is
3800 Park Nicollet Blvd, Saint Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-3123.
Dr Steven M Connelly is licensed to practice in Minnesota (license number 40902) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508844432.
Physician's Profile
| Full Name | Dr Steven M Connelly |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Experience | 32 Years |
|---|
| Location | 3800 Park Nicollet Blvd, Saint 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. |
|---|
Medical Education and Training:
- Dr Steven M Connelly attended and graduated from University Of Wisconsin School Of Medicine in 1992
NPI Data:
- NPI Number: 1508844432
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 03/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567505514
- Enrollment ID: I20100130000047
Medical Identifiers
Medical identifiers for Dr Steven M Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508844432 | NPI | - | NPPES |
| 357718000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 40902 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1530 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Steven M Connelly allows following entities to bill medicare on his behalf.
| 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 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Steven M Connelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Steven M Connelly, MD
8170 33rd Ave S, Po Box 1309 Mail Stop 21110q,
Minneapolis, MN 55425-4516
Ph: (952) 993-3123 | Dr Steven M Connelly, MD
3800 Park Nicollet Blvd,
Saint Louis Park, MN 55416-2527
Ph: (952) 993-3123 |
Reviews and Comments