Hai-thien Phu, | |
640 Jackson St, Saint Paul, MN 55101-2502 | |
(651) 254-3456 | |
Not Available |
Full Name | Hai-thien Phu |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 640 Jackson St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790340651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 73477 (Minnesota) | Secondary |
208000000X | Pediatrics | 73477 (Minnesota) | Secondary |
208M00000X | Hospitalist | 73477 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Hai-thien Phu, 420 Delaware Street Se, Mmc 913, Minneapolis, MN 55455 Ph: () - | Hai-thien Phu, 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-3456 |
Dr. Panduka N Samarawardana, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Shannon Elizabeth Hayes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 952-967-7977 Fax: 651-254-9673 | |
Margaret L Guthrie, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 Fax: 651-241-2793 | |
Rahul Velaga, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 Spring St, Apt 130, Saint Paul, MN 55102 Phone: 989-327-4117 | |
Dr. Lourdes Gomez Villaume, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Brian David Tomich, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Hojung J Yoon, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 69 Exchange St W, Saint Paul, MN 55102 Phone: 651-232-3000 |