Gregory Alan Haines, DO | |
11841 Owatonna St Ne, Blaine, MN 55449-3919 | |
(763) 205-6555 | |
Not Available |
Full Name | Gregory Alan Haines |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 11841 Owatonna St Ne, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376558205 | NPI | - | NPPES |
1376558205 | Other | MN | DAKOTA CARE |
415 | Other | MN | AMERICA'S PPO |
636518300 | Medicaid | MN | |
43538000 | Medicaid | WI | |
1604662 | Other | MN | MEDICA |
343C1HA | Other | MN | BLUE COSS AND BLUE SHIELD OF MN |
61477HA | Other | MN | BLUE CROSS AND BLUE SHIELD OF MINNESOTA |
HP25845 | Other | MN | HEALTHPARTNERS |
253016 | Other | MN | MIDLANDS CHOICE INC |
0762633 | Medicaid | IA | |
124717 | Other | MN | UCARE |
960371014447 | Other | MN | PREFERRED ONE |
P00377639 | Other | MN | RAILROAD MEDICARE MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 39638 (Minnesota) | Primary |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Entity Name | St Francis Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
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 |
---|---|
Gregory Alan Haines, DO 11841 Owatonna St Ne, Blaine, MN 55449-3919 Ph: (763) 205-6555 | Gregory Alan Haines, DO 11841 Owatonna St Ne, Blaine, MN 55449-3919 Ph: (763) 205-6555 |
Stephen J Handler, MD Radiology Medicare: Medicare Enrolled Practice Location: 4365 Pheasant Ridge Dr Ne Ste 106, Blaine, MN 55449 Phone: 888-938-3838 Fax: 888-919-1083 |