Evan L Domeyer, DO | |
3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433-2569 | |
(763) 236-9400 | |
(763) 236-9423 |
Full Name | Evan L Domeyer |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 3960 Coon Rapids Blvd Nw, Coon Rapids, 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 |
---|---|---|---|
1033178538 | NPI | - | NPPES |
315794600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 44533 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital | Coon rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
---|---|
Evan L Domeyer, DO Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813 | Evan L Domeyer, DO 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433-2569 Ph: (763) 236-9400 |
Dr. Jaya Bhattarai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Zongyu J Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9145 Springbrook Dr, #200, Coon Rapids, MN 55433 Phone: 612-871-1145 Fax: 612-870-5491 | |
Amber Galarowicz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Natalia Yazigi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Linda Benjamin Soucie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423 | |
Wendoly R Slattery, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |