Dr Tonya Lynne Bryan, MD | |
13819 Hanson Blvd Nw, Andover, MN 55304-7608 | |
(763) 572-5710 | |
(763) 862-4490 |
Full Name | Dr Tonya Lynne Bryan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13819 Hanson Blvd Nw, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619939741 | NPI | - | NPPES |
128387 | Other | MN | UCARE MN |
59G17BR | Other | MN | BCBS OF MN |
011648300 | Medicaid | MN | |
6605841 | Other | MN | MEDICA UC |
HP35365 | Other | MN | HEALTHPARTNERS |
1030993 | Other | MN | PREFERRED ONE |
1201818 | Other | MN | MEDICA |
1594350 | Other | MN | AMERICA'S PPO |
7978447 | Other | MN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 43377 (Minnesota) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Tonya Lynne Bryan, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 572-5710 | Dr Tonya Lynne Bryan, MD 13819 Hanson Blvd Nw, Andover, MN 55304-7608 Ph: (763) 572-5710 |
Dr. Tracy L Ricke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3360 S Coon Creek Dr, Andover, MN 55304 Phone: 612-298-6144 | |
Dr. Lisa Ann Bishop, MBCHB Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4600 | |
Allen Praxidio Bergstedt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 612-442-3996 | |
Trinh To, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 855-324-7843 | |
Dr. Rhodessa Fidela Kabatay Burt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 | |
Dr. Deborah Anne Demarais, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 |